踝肱指数对老年脑梗死的预测价值(1)
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【摘要】目的通过测量80例老年脑梗死患者的踝肱指数(anklebrachial index ABI),定量评估踝肱指数对老年脑梗死的预测价值。方法选取脑梗死患者共80例,正常对照组80例。采用Imex Nicolet Elite 100型便携式多普勒超声检测仪,测量病例组及对照组的ABI,分析ABI与脑梗死的相关性。结果80例脑梗死患者的ABI为0.92±0.07;对照组的ABI为1.10±0.06,两组之间存在显著差异(P<0.01)。脑梗死组ABI<0.90的占51%,对照组的ABI<0.90的占4%,两组之间也存在显著差异(P<0.01)。结论踝肱指数(ABI)对老年脑梗死有预测价值,踝肱指数(ABI)小于0.90应高度警惕脑梗死的发生,并进行早期规范的干预治疗,降低脑梗死的发生率。
【关键词】
踝肱指数;动脉粥样硬化;脑梗死
The predictive value of anklebrachial index in cerebral infarction
LI Zhuoxing,DOU Ruxiang,LIN Kaisi.Department of Neurology,Buji People’s Hospital,Shenzhen 518112,China
【Abstract】ObjectiveWe measured the anklebrachial index(ABI)of the cerebral infarction patients,and evaluated the value of the ABI to predict cerebral infarction.MethodsABI was measured in 80 cerebral infarction patients,and 80 normal controls using a Doppler device.The influence of ABI in cerebral infarction was evaluated.ResultsThere were statistical differences in ABI between cerebral infarction(ABI=0.92±0.07),and normal control(1.10±0.06),There was a significant difference between the ABI of two groups(P<0.01).There were 51% cerebral infarction patient’s ABI<0.90,and only 4% in normal control There was also a significant difference between the two groups by χ2test(P<0.01).ConclusionABI can predict cerebral infarction.When ABI<0.90,the risk of cerebral infarction is high and it is necessary to take measures to prevent the stroke.
【Key words】
Anklebrachial index;Atherosclerosis; Cerebral infarction
脑梗死是危害人类健康的主要疾病,一旦发病致残率极高,而早期干预治疗是未来研究脑梗死的重点。本文选择80例脑梗死患者及80例对照组人群为研究对象,定量评估踝肱指数对老年脑梗死的预测价值。
1对象与方法
1.1研究对象①脑梗死组:选择选择2006年1至2009年1月住院的脑梗死患者80例,所有病例均符合我国第四届脑血管疾病会议修定的诊断标准,并于发病72 h之内均行头颅CT平扫检查,显示相应大脑半球皮质或皮质下低密度梗死灶。所有入选病例均排除房颤、感染性心内膜炎等所致的脑
DOI:10.3760/cma.j.issn 16738799.2010.03.03
基金项目:深圳市科技计划项目(卫生医疗类)(项目编号:200903224)
作者单位:518112深圳市布吉人民医院神经内科
栓塞病例。全部病例中,男52例,女28例,年龄65~96岁,平均(69.6±12.5)岁;②对照组:选择年龄、性别与脑梗死组相匹配的同期非脑梗死病例80例为对照组,其中男52例,女28例,年龄65~90岁,平均为(67.1±11.2)岁。
1.2方法ABI测量由专人负责,测量仪器为Imex Nicolet Elite 100型便携式多普勒超声检测仪,探头频率5 ......
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