【摘要】：目的探討腦電圖慢波化比率〔(θ+δ)/(α+β)值,DTABR〕、磁共振動脈自旋標記成像(ASL)檢測相對腦血流量(r CBF)對急性腦梗死預后的評估價值。方法 46例發(fā)病7 d內的急性腦梗死患者,記錄入院時美國國立衛(wèi)生研究院卒中量表(NIHSS)及洛桑卒中預后評分(ASTRAL),腦電監(jiān)測DTABR,ASL測量梗死區(qū)即感興趣區(qū)(ROI)的CBF-ROI及對側鏡像區(qū)(ROM)的CBF-ROM,計算CBF-ROI/CBF-ROM得到相對腦血流量(r CBF),隨訪發(fā)病28 d的Barthel指數(BI),分析預后與上述指標的關系,探討預測腦梗死預后的因素。結果 46例患者中BI60分35例,≤60分11例。預后不良組的女性比例較高,梗死體積、入院NIHSS評分、ASTRLA評分、DTABR患/健側增加,CBF、r CBF值減少。Barthel指數與入院NIHSS評分、ASTRAL評分、梗死體積、DTABR患/健側均呈負相關(r=-0.862,P=0.000;r=-0.772,P=0.000;r=-0.520,P=0.000;r=-0.414,P=0.004),與CBF-ROI、r CBF呈正相關(r=0.331,P=0.025;r=0.538,P=0.000)。DTABR患/健側與r CBF呈負相關(r=-0.302,P=0.044)。入院NIHSS評分、DTABR患/健側是預測腦梗死預后的危險因素,NIHSS評分、DTABR患/健側越高預后越差。入院NIHSS評分8分,DTABR患/健側1.159是預測不良預后敏感度及特異性均較好的界值。結論入院NIHSS評分聯合定量腦電圖DTABR有助于急性腦梗死的預后評估。
[Abstract]:Objective to evaluate the value of slow wave ratio (胃 未) / (偽 尾) of electroencephalogram (EEG) in the evaluation of prognosis of acute cerebral infarction (ACI) by, DTABR), spin-labeled magnetic resonance imaging (ASL) and relative cerebral blood flow (r CBF). Methods 46 patients with acute cerebral infarction within 7 days of onset were recorded. The stroke scale (NIHSS) and Lobsang stroke prognosis score (ASTRAL),) were recorded at admission. DTABR, was monitored by electroencephalogram (EEG). CBF-ROI of (ROI) in infarcted area of immediate interest and CBF-ROM, calculation of (ROM) in contralateral mirroring area by ASL the Barthel index (BI), relative to cerebral blood flow (r CBF),) was obtained by (r CBF), follow-up for 28 days. To explore the prognostic factors of cerebral infarction by analyzing the relationship between prognosis and the above indexes. Results there were 35 cases with BI60 and 11 cases with 鈮，

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