目的 探讨在缺血性脑卒中患者诊断中应用经颅多普勒超声的价值和意义.方法 运用随机数字表法从2015-06-2016-06来我院就诊的缺血性脑卒中患者中选取196例为实验组,选取同时期来我院健康体检的人员中120例为对照组,所有患者均接受经颅多普勒超声(TCD)检查,对比和分析经颅多普勒超声在缺血性脑卒中诊疗中的应用价值.结果 实验组的血管异常率较对照组显著增加,2组血管异常率比较差异具有统计学意义(P＜0.05);与大面积脑梗死患者相比,小面积脑梗死及腔隙性梗死患者血管异常率显著降低,比较差异具有统计学意义(P＜0.05),但小面积脑梗死和腔隙性梗死患者血管异常率比较差异无统计学意义(P＞0.05).结论 缺血性脑卒中患者通过经颅多普勒超声诊疗,有助于早期发现和评估病情,为治疗和评估预后提供参考价值,整个操作过程简单、方便,容易被患者接受,值得推广.%Objective To explore the diagnostic value and clinical effect of transcranial Doppler in patients with ischemic stroke.Methods According to random number table method,we selected 196 cases with ischemic stroke among those treated in our hospital from June 2015 to June 2016,and at the same time we selected 120 healthy people who received physical examination as control group.All cases underwent the examination of transcranial Doppler in order to evaluate its diagnostic value and clinical effect in patients with ischemic stroke.Results The incidence of vascular abnormality in the experimental group was significantly higher than that in the control group (P＜0.05).Compared with patients with massive cerebral infarction,those with small cerebral infarction or with lacunar infarction between whom no statistical difference was found presented low incidence of vascular abnormality,and the difference was statistically significant (P ＜ 0.05).Conclusion With brief and convenient operation process,transcranial Doppler used for examining ischemic stroke may contribute to early detecting and evaluating disease,may provide references for treatment and prognosis and may easily be accepted by patients,which should be worthy of promotion.
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