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房颤患者脑动脉微栓子自动监测研究
引用本文:顾承志,赵晓晖,黄怀宇,黄志东,朱连海.房颤患者脑动脉微栓子自动监测研究[J].卒中与神经疾病,2004,11(3):154-155,158.
作者姓名:顾承志  赵晓晖  黄怀宇  黄志东  朱连海
作者单位:226001,南通医学院第二附属医院神经内科
基金项目:江苏省卫生厅重点攻关项目
摘    要:目的研究房颤患者脑动脉微栓子的发生率.方法随机抽取178例患者分成房颤组30例、心脏病无房颤组32例及非心脏病无房颤组28例, 先用Embo-dop型TCD进行双侧大脑中动脉的微栓子自动监测.结果房颤组微栓子阳性发生率70.0%, 心脏病无房颤组微栓子阳性发生率46.9%, 而非心脏病无房颤组微栓子阳性发生率17.9%, 三组之间经χ2检验有统计学意义.结论房颤是微栓子的主要来源, 对房颤患者进行积极的抗凝治疗可以减少脑卒中的发生和再发生的机会.

关 键 词:房颤  微栓子  自动监测
文章编号:1007-0478(2004)03-0154-02

The Investigation of MES Auto-Monitoring in Atrial Fibrillation
Gu Chengzhi,Zhao Xiaohui,Huang Huaiyu,et al..The Investigation of MES Auto-Monitoring in Atrial Fibrillation[J].Stroke and Nervous Diseases,2004,11(3):154-155,158.
Authors:Gu Chengzhi  Zhao Xiaohui  Huang Huaiyu  
Institution:Gu Chengzhi,Zhao Xiaohui,Huang Huaiyu,et al.Department of Neurology,The second affiliated Hospital of Nantong Medical College,Nantong 226001,China
Abstract:Objective To investigate the positive rate of micro embolus (MES) in cerebral arteries of the patients with atrial fibrillation (AF)Methods 178 patients auto monitored to cerebral media arteries by TCD (type Embo dop) were divided into 3 groups in random: 30 in AF group, 32 in cardiopathy not AF group and 28 in control group.Results The positive rate of MES is 70.0% in AF group, 46.9% in and cardiopathy and without AF group and 17.9% in control group.Conclusions AF is the main source of MES.It can decrease the incidence of current and recurrent stroke in AF after active antithrombotic therapy.
Keywords:Atrial fibrillation Microembolinsis Auto-monitor
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