The clinical significance of transcranial Doppler flow grade for patients with acute cerebral infarction combined with H type hypertension
10.3969/J.ISSN.1672-8270.2017.11.019
- VernacularTitle:急性脑梗死合并H型高血压患者经颅多普勒超声血流动力学分型的临床意义
- Author:
juan Li SHUI
1
;
chun Hao ZHANG
;
hui Ying LI
Author Information
1. 达州市中心医院神经内科 四川 达州 635000
- Keywords:
Acute cerebral infarction;
H type hypertension;
Transcranial Doppler flow grade
- From:
China Medical Equipment
2017;14(11):65-68
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical significance of transcranial Doppler flow grades for patients with acute cerebral infarction combined with H type hypertension. Methods: 92 patients with acute cerebral infarction combined with H type hypertension were divided into observation group, and 78 patients with acute cerebral infarction were divided into control group during the same period. The differences of the two groups were compared and researched. The correlation between transcranial Doppler flow grade of acute cerebral infarction combined with H type hypertension and the score of NIHSS was compared and analyzed. Results: As the results of transcranial Doppler flow grades, the ratio of the patients in 0 grade was 10.87% in observation group, and it was significantly higher than that of control group (1.28%) (x2=4.925, P<0.05). The ratio of the patients in 5 grade was 6.52% in observation group, and it was significantly lower than that of control group (21.79%) (x2=8.417, P<0.05). The blood flow velocities of systole and diastole of observation group were significantly lower than that of control group (t=3.645, t=5.251, P<0.05), respectively. The cerebral infarct size of observation group was significantly larger than that of control (t=4.405, P<0.05). The score of NIHSS of observation group was significantly higher than that of control group (t=2.688, P<0.05). The results of Pearson linear correlation analysis indicated that there was a significantly negative correlation between transcranial Doppler flow grades and NIHSS (r=-0.284, P<0.05). Conclusion: The transcranial Doppler flow grades can identify the order of severity for patients with acute cerebral infarction combined with H type hypertension.
