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acute stage of ischemic stroke
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  缺血性中风急性期
     According to the basic theory of Traditional Chinese Medicine and clinicalexperience, we put forward that the tagnation of wind-phlegm and stasis ’s oneof the principal pathological bases of acute stage of ischemic stroke, therefore thecombination of promoting circulation to remove obstruction , calming theendogenous wind and resolving phlegm should be the main treatment in acute stageof ischemic stroke.
     本课题根据中医理论和临床实践,提出“风痰瘀阻”是缺血性中风急性期的一个重要病理基础,故确立相应的活血通络、熄风化痰为基本治疗大法,研制成天红通脉口服液。
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  “acute stage of ischemic stroke”译为未确定词的双语例句
     Relationship between etiology and diffusion weighted imaging patterns in acute stage of ischemic stroke
     急性缺血性卒中病因与早期弥散加权成像表现的关系
短句来源
     The Study of Relationship between Etiological and Clinical Classifications in Acute Stage of Ischemic Stroke
     两种常用脑梗塞分型方法关系的研究
短句来源
     The Influence of Yiqi Huoxue Method for Protecting Nerve in Acute Stage of Ischemic Stroke (Qi-Deficiency and Blood-Stasis Syndrome )
     益气活血法对缺血性脑卒中急性期(气虚血瘀证)神经保护作用的影响
短句来源
     The study of relationship between etiological and clinical classifications in acute stage of ischemic stroke
     缺血性脑卒中病因分型与临床分型的关系
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     Objective: To investigate the effect of acupuncture on patients at acute stage of ischemic stroke from the angle of immunity regulation and to explore the mechanism of acupuncture treatment on the ischemic stroke.
     目的:从调节免疫功能的角度探讨针刺疗法对急性期缺血性中风患者康复的效应,及治疗机理。
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  相似匹配句对
     Influence of hyperhomocystinemia on acute stage of stroke
     高血浆同型半胱氨酸对急性脑卒中的影响
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     Ischemic Penumbra and Acute Ischemic Stroke
     缺血性半暗带与急性缺血性中风
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     TOAST subtyping of acute ischemic stroke
     急性缺血性脑卒中的TOAST亚型分析
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     The intraarterial thrombolysis in acute ischemic stroke
     急性缺血性脑梗死的动脉溶栓治疗
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     Thrombolytic treatment of acute ischemic stroke
     急性缺血性脑卒中的溶栓治疗
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  acute stage of ischemic stroke
When piracetam and vinpocetin were used, all morphological measures indicated inadequate energy provision for repair processes in the acute stage of ischemic stroke.
      


ObjectiveTo evaluate the relationship between etiology and diffusion weighted imaging (DWI) patterns in acute stage of ischemic stroke.MethodsWe retrospectively investigated 226 patients admitted to Prince of Wales Hospital in Hong Kong during January to July 2002 who were diagnosed as having acute ischemic stroke or transient ischemic attack (TIA), and who were performed DWI at the acute stage. The modified-TOAST(Trial of Org 10172 in Acute Stroke Treatment)classification...

ObjectiveTo evaluate the relationship between etiology and diffusion weighted imaging (DWI) patterns in acute stage of ischemic stroke.MethodsWe retrospectively investigated 226 patients admitted to Prince of Wales Hospital in Hong Kong during January to July 2002 who were diagnosed as having acute ischemic stroke or transient ischemic attack (TIA), and who were performed DWI at the acute stage. The modified-TOAST(Trial of Org 10172 in Acute Stroke Treatment)classification and the imaging appearance on DWI were analyzed. The relationship between early imaging on DWI and etiology was investigated.ResultsThe imaging appearance on DWI was related with etiology (r_s=-0.245,P=0.000). Ten single cortico-subcortical infarcts (χ~2=16.591,P=0.000), 17 multiple border zone infarcts (χ~2=7.156,P=0.007), 39 scattered infarcts involving one artery territory (χ~2=20.846, P=0.000), and 17 multiple infarcts involving more than one artery territory of anterior circulation (χ~2=7.156,P=0.007) were mostly caused by large artery disease, and 71 small infarcts in basal ganglion and brain stem were mostly caused by small vessel disease (χ~2=174.308, P=0.000). In addition, some small infarcts (12/71,16.90%) possessed others causes(χ~2=7.112,P=0.008). Most single cortical infarcts (13/18)were detected without definite cause (χ~2=19.650, P=0.000).ConclusionThe DWI patterns in acute stage should be helpful to verify etiology of ischemic stroke.

目的探讨缺血性卒中早期的影像学检查是否有助于判断病因。方法回顾性调查急性缺血性卒中患者226例,探讨早期的弥散加权成像(DWI)的影像学表现与病因的相关性。结果早期的DWI表现与病因有关(rs=-0.245,P=0.000)。其中,10例单发的皮质皮质下梗死(χ2=16.591,P=0.000)、17例多发的分水岭梗死(χ2=7.156,P=0.007)、39例散发性梗死(χ2=20.846,P=0.000)和17例位于前循环的多发性梗死(χ2=7.156,P=0.007),病因多为大血管病变;71例小的穿通支梗死病因多为小血管病变(χ2=174.308,P=0.000)。除此之外,还有相当一部分小穿通支梗死(12/71,16.90%)具有其他原因(χ2=7.112,P=0.008);大部分(13/18)皮质梗死病因不明(χ2=19.650,P=0.000)。结论缺血性卒中急性期的DWI检查可帮助确定病因。

BACKGROUND: Transcranial Doppler ultrasonography (TCD) can non-invasively detect intracranial arterial blood flow signals and objectively depict changes in cerebral hemodynamics for the benefit of understanding the location, severity, and involved scope of the vascular occlusion and stenosis, as well as the development of collateral circulation and recanalization after occlusion. TCD therefore possesses important significance in the early diagnosis, severity appraisal, and prognostic evaluation of ischemic cere-brovascular...

BACKGROUND: Transcranial Doppler ultrasonography (TCD) can non-invasively detect intracranial arterial blood flow signals and objectively depict changes in cerebral hemodynamics for the benefit of understanding the location, severity, and involved scope of the vascular occlusion and stenosis, as well as the development of collateral circulation and recanalization after occlusion. TCD therefore possesses important significance in the early diagnosis, severity appraisal, and prognostic evaluation of ischemic cere-brovascular diseases. OBJECTIVE: To observe the dynamic changes in TCD manifestations during the acute stage of ischemic stroke in comparison with findings by electroencephalogram (EEG), topographic EEG map, and head CT, and explore the value of TCD in early evaluation of ischemic stroke and the association of TCD findings with the other examination modalities and neurological deficit scores to facilitate the treatment. DESIGN: Case-controlled clinical trial. SETTING: The Department of Neurology of the Second Hospital Affiliated to Kunming Medical College. PARTICIPANTS: Between October 2001 and March 2002, 23 patients were admitted to the Department of Neurology of the Second Hospital Affiliated to Kunming Medical College for ischemic stroke. Thirty age-matched healthy subjects for routine physical examination were also included as the control group. METHODS: (1) All patients were subjected to bedside TCD immediately after admission and re-examined on days 2, 4, and 7. The normal controls were examined with TCD on the day of routine physical examination. (2) All the patients were subjected to bedside EEG examination and topographic EEG mapping immediately after admission. (3) All patients were assessed with neurological deficit scoring immediately and 3, 4, 7 days after admission. The scores ranged from 45 to 0, and the scores of 0-15 indicated mild neurological deficit, 16-30 moderate and 31-45 serious deficit. MAIN OUTCOME MEASURES: (1) Results of TCD. (2) Scores for neural dysfunction, and results of EEG examination, topographic EEG mapping, and head CT. RESULTS: Totally 23 patients with ischemic stroke and 30 healthy control subjects were enrolled in this study and all were available for result analysis. CD On the day of admission, TCD yielded an abnormal rate of 91.3% in these patients, significantly higher than the rats by EEG (65.2%), topographic EEG mapping (78.3%) and head CT (17.4%). TCD revealed a reduction in the mean velocity of the blood flow reduced of (34.92± 13.25) cm/s in the middle cerebral artery (P < 0.01), but an increase in the anterior cerebral artery on affected side (65.47±16.69) cm/s (P < 0.01). (2) The asymmetry index of the middle cerebral artery blood flow velocity was positively correlated with the neurological deficit scores (P < 0.01) and the relative power of the slow wave in topographic EEG map (P < 0.01-0.05), but inversely correlated with the relative power of the alpha wave (P < 0.01). The dynamic observation revealed that the blood flow velocity gradually recovered in the middle cerebral artery on affected side after treatment, but reduced in the anterior cerebral artery, suggesting the recanalization of the occluded vessels which occurred at different time. CONCLUSION: In the acute stage of ischemic stroke, TCD can be valuable in detecting hemodynamic abnormalities due to cerebral vascular occlusion, with better sensitivity than that of topographic EEG mapping, EEG and head CT. The degree of the abnormalities identified by TCD is associated with the severity of the patients' condition, and dynamic observation with TCD may help assess the vascular recanalization.

背景:经颅多普勒超声能无创性检测颅内动脉的血流信号,较为客观的反映脑血流动力学改变,有助于了解血管闭塞及狭窄的程度、部位、范围、侧支循环以及闭塞后再通的情况,对缺血性脑血管疾病的早期诊断、病情判断、预后评估具有重要价值。目的:通过对缺血性脑卒中急性期的经颅超声多普勒动态观察,与脑电图、脑电图地形图、头颅计算机断层扫描等进行对比研究,以探讨经颅超声多普勒对缺觑性脑卒中早期评估的价值,观察经颅超声多普勒与脑电图、脑电图地形图及神经功能缺损评分之间的相关性以判断病情指导治疗。设计:病例-对照实验。单位:昆明医学院第二附属医院神经内科。对象:选择2001-10/2002-03在昆明医学院第二附属医院神经内科接受住院治疗的缺血性脑卒中23例患者及同期选择年龄性别相匹配的门诊健康体检者30人为对照组。方法:①所有患者均于入院即刻行床旁经颅多普勒超声检查,并于入院后第2,4,7天复查,所有正常对照者均于体检当天行经颅多普勒超声检查。②所有患者均在入院当天行床旁脑电图及脑电图地形图检查。③所有患者于入院后即刻,入院后第3,4,7天进行神经功能缺损评分(最高得分45分,最低得分0分,0-15分为重度神经功能缺损,16-30分为...

背景:经颅多普勒超声能无创性检测颅内动脉的血流信号,较为客观的反映脑血流动力学改变,有助于了解血管闭塞及狭窄的程度、部位、范围、侧支循环以及闭塞后再通的情况,对缺血性脑血管疾病的早期诊断、病情判断、预后评估具有重要价值。目的:通过对缺血性脑卒中急性期的经颅超声多普勒动态观察,与脑电图、脑电图地形图、头颅计算机断层扫描等进行对比研究,以探讨经颅超声多普勒对缺觑性脑卒中早期评估的价值,观察经颅超声多普勒与脑电图、脑电图地形图及神经功能缺损评分之间的相关性以判断病情指导治疗。设计:病例-对照实验。单位:昆明医学院第二附属医院神经内科。对象:选择2001-10/2002-03在昆明医学院第二附属医院神经内科接受住院治疗的缺血性脑卒中23例患者及同期选择年龄性别相匹配的门诊健康体检者30人为对照组。方法:①所有患者均于入院即刻行床旁经颅多普勒超声检查,并于入院后第2,4,7天复查,所有正常对照者均于体检当天行经颅多普勒超声检查。②所有患者均在入院当天行床旁脑电图及脑电图地形图检查。③所有患者于入院后即刻,入院后第3,4,7天进行神经功能缺损评分(最高得分45分,最低得分0分,0-15分为重度神经功能缺损,16-30分为中度神经功能缺损,31-45分为轻度神经功能缺损)。主要观察指标:①全部被试对象经颅多普勒超声检查结果。②缺血性脑卒中患者神经功能缺损评分、脑电图描记、脑电图地形图描记、头颅计算机断层扫描检查结果。结果:缺血性脑卒中患者23例和30名健康体检者均进入结果分析。①入院当天经颅多普勒超声异常率91.3%,高于脑电图(65.2%)、脑电图地形图(78.3%)及头颅计算机断层扫描(17.4%)。入院当天经颅多普勒超声表现为病侧大脑中动脉平均血流速度降低(34.92±13.25)cm/s (P<0.01)。病侧大脑前动脉平均血流速度升高(65.47±16.69)cm/s (P<0.01)。②大脑中动脉流速不对称指数(不对称指数)与神经功能缺损评分成正相关(P<0.01).与脑电图地形图慢波相对功率值成正相关(P<0.01-0.05),与α波相对功率值成负相关(P<0.01)。动态观察发现经治疗病侧大脑中动脉平均血流速度逐渐恢复并出现流速增高, 而病侧大脑前动脉平均血流速度随之下降,提示血管再通.但各自再通时间不同。结论:在缺血性脑卒中急性期经颅多普勒超声可发现与闭塞血管相关的血流动力学异常,异常率高于脑电图地形图、脑电图及头颅计算机断层扫描。其异常程度与病情严重程度相关,动态观察有助于发现血管再通情况。

Objective To verify the relationship between etiological and clinical classifications in acute stage of ischemic stroke.Methods We investigated 226 patients admitted who were diagnosed as acute ischemic stroke or TIA.The OCSP(Oxfordshire Community Stroke Project) classification of acute stage and TOAST(Trial of Org 10172 in Acute Stroke Treatment) classification were analyzed.We investigated the relationship between OCSP and TOAST classifications.Results...

Objective To verify the relationship between etiological and clinical classifications in acute stage of ischemic stroke.Methods We investigated 226 patients admitted who were diagnosed as acute ischemic stroke or TIA.The OCSP(Oxfordshire Community Stroke Project) classification of acute stage and TOAST(Trial of Org 10172 in Acute Stroke Treatment) classification were analyzed.We investigated the relationship between OCSP and TOAST classifications.Results OCSP classification in acute stage was related with etiology(P<0.05),especially TACI(Total Anterior Circulation Infarct) and LACI(Lacunar Infarct).There were 44.12% TACI patients with intracranial large artery disease and There were 48.72% LACI patients with small vessel disease.However,we didn't find the relationship between PACI(Part Anterior Circulation Infarct) and etiology.Conclusion The OCSP classification in acute stage was partly helpful to indicate etiology of ischemic stroke.

目的探讨缺血性中风两种常用的分型方法,即病因分型与临床分型是否有关。方法调查急性缺血性中风患者226例,分别进行临床分型(OCSP分型)和病因分型(M-TOAST分型),探讨早期的临床分型和病因的相关性。结果早期的临床分型与病因分型有关(P<0.05),其中,完全前循环梗塞(TACI)中有44.12%的病人具有颅内大动脉异常,而腔隙性梗塞(LACI)中病因为小动脉闭塞的占48.72%,但未发现部分前循环梗塞(PACI)与病因有明确关系。结论缺血性中风急性期的临床分型能部分预示病因,可用于指导临床诊治。

 
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