摘要
目的探讨踝臂指数(ABI)、颈部血管彩超、经颅多普勒超声(TCD)与缺血性卒中的关系。方法对187例患者经过CT/MR检查后分为缺血性卒中及非卒中组,均行颈部血管彩超、ABI、TCD检查,收集相关资料,并进行统计学处理。结果卒中组中ABI及颈部血管彩超异常率显著高于非卒中组(P<0.05);缺血性卒中组颈部血管彩超的ROC曲线下面积大于ABI及TCD(0.60、0.56、0.55,P<0.05)。颈部血管彩超联合ABI的ROC曲线下面积远大于颈部血管彩超联合TCD或TCD联合ABI或三者联合(0.62、0.61、0.56、0.61);结论 ABI、颈动脉彩超、TCD能较好的预测缺血性卒中发生,颈部血管彩超联合ABI能够更有效预测缺血性卒中的发生。
Objective To investigate the relationship between the ankle-brachial index （ABI）, carotid ultrasound, transcranial Doppler ultrasound（TCD） and ischemic stroke. Methods After CT/MR examination, 187 cases of patients were divided into ischemic stroke and non-ischemic stroke group, and underwent carotid ultrasound, ABI and TCD examina- tion. The relevant information was collected for statistical analysis. Results The ABI and carotid ultrasound abnormalities of the stroke group was significantly higher than non-stroke group （ P 〈 0.05 ）. The area under the carotid ultrasound＇ s ROC curve of the stroke group was greater than the ABI and TCD＇ s （0.60,0.56,0.55,P 〈 0.05 ）. The area under the carotid ultrasound combined ABI＇s ROC curve was much larger than the carotid ultrasound combined TCD＇ s,TCD combined ABI＇ s or all combined（0.62,0.61,0.56,0.61, P 〈 0.05 ）. Conclusion The ABI, carotid ultrasound and TCD can well predict the occurrence of ischemic stroke, and the ABI combined carotid ultrasound can more effectively predict the occurrence of ischemic stroke.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2012年第5期450-453,共4页
Journal of Apoplexy and Nervous Diseases
关键词
踝臂指数
颈部血管彩超
经颅多普勒超声
缺血性脑卒中
Ankle-brachial index
Transcranial Doppler ultrasound
Carotid ultrasound
Ischemic stroke
