頸動脈超聲對急性前循環(huán)腦梗死預(yù)后評估的臨床價值

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The clinical value of carotid ultrasound in theprediction and prognosis assssment of acute anterior circulationcerebralinfarction

LiCui

【Abstract】Objective To investigate the clinical value of carotid ultrasound in predicting and evaluating the prognosis ofacuteanterior circulationcerebralinfarction.MethodsAtotalof57patients diagnosed withacute anterior circulation cerebral infarction who received carotid artery ultrasound examination in Xingyang People's Hospital from May 2O21 to May 2O24were selectedascerebral infarction group，inthesame period，57 healthy people who received physical examination and carotid artery ultrasound examination in Xingyang People's Hospital were selected as thecontrol group，the examinationresults of the two groupswere analyzed，and the examination resultsof patients with diferent prognosis incerebral infarction group wereanalyzed.ResultsIn the cerebral infarction group，the detection rate of carotid artery stenosis was 100% ，whichwashigherthan 52.6% in control group （ P <0.05）.In the cerebral infarction group，the intima and media thicknessofcarotid artery were higher than thecontrol group，and inthecerebral infarction group，theaverage blood flow velocity（Vm）of internal carotidartery was lowerthan the control group，and the peak systolic blood velocity （PSV）and end-diastolic blood velocity （EDV） were higher than the control group （ P <0.05）.In the prediction of acute anterior circulation cerebral infarction， the accuracy，specificity and sensitivity of carotid artery ultrasound were 92.1% ， 91.2% and 93.0% .In the cerebral infarction group，the narrow severe and occlusion than narrow moderate，mild Vm is low，and lower the moderate is relatively narrow，narrow neck artery intima-mediathickness，PSV，EDV thannarrow high，moderate，mildand moderate aremorenarrow slightlyhigher （ P <0.05）. The Vmin the poor prognosis group was lower than that in the good prognosis group，andthe thickness，PSVandEDVofcarotid artery were higher than thatin the good prognosis group （ P <0.05）.ConclusionCarotid artery ultrasound has good eficacy in predicting acute anterior circulation cerebral infarction，andcan evaluate theprognosis of patientsbyobtainingthedegreeofcarotid artery stenosis and ultrasonic blood flow parameters.

【Key Words】Cerebral infarction;Acute anterior circulation；Diagnosis；Prognosis assessment;Ultrasound;Carotidartery;Plaques;Carotidstenosis DOI：10.19522/j.cnki.1671-5098.2025.03.006

在腦血管意外中，急性腦梗死是比較常見的一種，病情緊急、兇險，且有較高的致殘、致死率，早期確診并及時干預(yù)是降低殘障程度、死亡率的關(guān)鍵[1]。（剩余6700字）