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目的:探讨脑血管功能积分(CVHI)定量预测颈内动脉系统脑梗死临床转归的意义。方法:将我科2015年07月-2016年06月收治的颈内动脉系统脑梗死患者100例分为A组(NIHSS<4分,n=30)、B组(NIHSS4-15分,n=34)、C组(NIHSS>15分,n=36)。分别在入院24 h、7 d、14 d、30 d、60 d、90 d进行脑血管功能检测,观察CVHI定量、NIHSS评分等指标。结果:A、B、C组患者入院24h内的CVHI评分分别为75.35±7.43分、(54.08±9.32)分、(42.76±7.89)分,NIHSS评分分别为(3.45±0.35)分、(9.24±1.06)分、(19.25±1.28分)。治疗后CVHI评分较治疗前均逐渐显著增度,P<0.05;NIHSS评分均逐渐显著降低,P<0.05;但第7d和14d的NIHSS和CVHI评分无显著性差异(P>0.05)。患者CVHI评分与NIHSS评分呈显著的相关性,r=3.226,P<0.05。结论:CVHI对颈内动脉系统脑梗死患者的病情预测、预后分析和疗效有较好评估作用,比NIHSS评分更加客观,值得临床推荐应用。
Objective: To investigate the clinical significance of cerebrovascular function integral (CVHI) quantitative prediction of internal carotid artery cerebral infarction. Methods: 100 patients with ICA cerebral infarction who were treated in our department from July 2015 to June 2016 were divided into group A (NIHSS <4 points, n = 30), group B (NIHSS4-15 points, n = 34), group C (NIHSS> 15 points, n = 36). Cerebrovascular function tests were performed at 24 h, 7 d, 14 d, 30 d, 60 d and 90 d after admission, and CVHI quantification and NIHSS scores were observed. Results: The CVHI scores of patients in group A, B and C within 24 hours after admission were 75.35 ± 7.43, (54.08 ± 9.32) and (42.76 ± 7.89), NIHSS scores were (3.45 ± 0.35) and (9.24 ± 1.06) points, (19.25 ± 1.28 points). After treatment, CVHI score gradually increased significantly compared with that before treatment, P <0.05; NIHSS score decreased gradually, P <0.05; however, there was no significant difference between NIHSS and CVHI score on the 7th and 14th days (P> 0.05). There was a significant correlation between CVHI score and NIHSS score (r = 3.226, P <0.05). CONCLUSION: CVHI has a better assessment on the prognosis, prognosis and curative effect of ICA patients. It is more objective than the NIHSS score and is worthy of clinical application.