脑血管血液动力学检测对脑卒中预警评估价值的探讨福建省福州市第一医院 李育才 黄俊山 卓健 王伟【摘要】目的：主要探讨脑血管血液动力学（CVHI）对脑卒中临床事件发生预警评估的价值及作用。方法：采纳上海 MD CBA CV-300m 仪经皮多普勒脑血管血液动力学（CVHI）检测技术，进行颈总动脉血流、压力测定脑卒中预警评估。评估分＞ 75 分为正常，70~74 分为脑卒中易患人群。＜50 分脑卒中高危人群。结果：高血压、肥胖人群为脑卒中发生的独立危险因素， 70~50 分脑卒中易患人群占本组 70.58%，CVHI 显示脑实质损害、内环境稳定方面表现脑供血不足或外周阻力增高，左右两侧 Vmin、Rv 数值相比有显著差异（P＜0.01＝。结论：降低或避开脑卒中临床事件发生，主要对独立高危人群需实行早期干预措施。进行 CVHI 检测，了解脑血管 Qmean、Vmin、Vmax、Rv、Wv、Zcv改变，预警评估脑卒中发生程度。及时进行脑血管功能调理，改善脑微循环、稳定脑内环境有积极作用。通过预警评估、独立高危人群的干预、普及医学保健知识，对降低脑卒中发生有辅助作用。【关键词】 脑血管；血液动力学；预警评估Study on the value of cerebral vascular hemodynamic indexes (CVHI) examination to predict the incidence of strokeLi yucai，Huang junsan，zhuojian，et alDepartment Of Healthly Examination Center，The First Hospital Of Fuzhou，Fujian，350003ABSTRACT OBJECTIVE To evaluate the efficacy of cerebral vascular hemodynamic indexes (CVHI) examination to predict the incidence of stroke. METHODS Participant enlisted in the study were checked by CVHI and accumulative score was calculated according to the detected indexes of velocity and pressure of carotid artery. Cases meeting the criteria of CVHI accumulative score above 75 points, between 50-75 points, and below 50 points were defined as normal individuals, susceptible population, and high risk population, respectively. RESULTS The statistics analysis indicated that hypertension and obesity were two independent factors among stroke risk factors. The CVHI examination showed cerebral par...
