|
|
|
| Diagnostic Value of VAT and Serum Hcy in Elderly Patients with Posterior Circulation Ischemic Cerebral Infarction |
| SU Jie, LI Yan-lan, CHANG Zhi-jun |
| Department of Neurology, Qinhuangdao Military Industry Hospital, Qinhuangdao 066000 China |
|
|
|
|
Abstract 【Objective】To explore the clinical significance of vestibular rotation test (VAT) and serum homocysteine (Hcy) in elderly patients with posterior circulation ischemic cerebral infarction.【Methods】From November 2015 to October 2017, 98 elderly patients with posterior circulation ischemic cerebral infarction and 30 healthy persons were selected. The VAT and serum Hcy levels of the two groups were compared, and the diagnostic sensitivity, specificity, positive likelihood ratio and negative likelihood ratio were evaluated. 【Results】The increase rate of VAT horizontal and vertical gain and serum Hcy level in the observation group were significantly higher than those in the control group (P<0.05); the positive rate of VAT test, abnormal rate of serum Hcy, positive rate of combined detection of VAT and serum Hcy in the observation group were significantly higher than those in the control group (P<0.05); the specificity and positive likelihood of combined detection of VAT and serum Hcy in the observation group were significantly higher than those in the control group alone (P<0.05). VAT test and serum Hcy test were used (P<0.05).【Conclusion】VAT test alone can improve the diagnostic accuracy of senile posterior circulation ischemic cerebral infarction, and combined with serum Hcy test can further evaluate the development and prognosis of the disease, which has good clinical application value.
|
|
Received: 07 August 2018
|
|
|
|
|
|
[1] 姜伟,赵晓峰,孟智宏.后循环缺血的名称演变及治疗进展[J].中国卒中杂志,2013,8(06):496-500.
[2] 刘雪云, 胡小伟, 蔡秀英,等. 后循环缺血早期识别的研究进展[J].临床神经病学杂志, 2018, 31(2):151-154.
[3] Chen R , Su R , Deng M,et al. A posterior circulation ischemia risk score system to assist the diagnosis of dizziness[J].J Stroke Cerebrovasc Dis,2018, 27(2):506-512.
[4] 岳伟, 吴昊, 石志鸿,等. 血浆同型半胱氨酸水平与急性缺血性脑卒中患者的卒中复发及死亡关系的研究[J].中华神经医学杂志, 2016, 15(7):654-659.
[5] 中华神经科学会.各类脑血管疾病的诊断要点[J] .中华神经科杂志,1996 ,29 :379-380 .
[6] 徐志富, 王锡丽. 64层螺旋CT联合血清HCY水平检测用于下肢动脉狭窄闭塞性疾病诊断的临床分析[J].空军医学杂志, 2016, 32(2):117-119.
[7] 李菁晶, 鞠奕, 王春雪, 等. 老年后循环脑梗死患者89例临床观察[J].中国神经免疫学和神经病学杂志, 2008, 15(3):197-200.
[8] 鞠奕. 后循环缺血性脑梗死患者病后1年观察[J].中华老年心脑血管病杂志, 2006, 8(10):684-687.
[9] 严小艳, 王凯, 韩玉梁,等. 前庭自旋转实验在小脑梗死中的应用研究[J].临床神经病杂志, 2015,11(3):227-228.
[10] 何京川,翟翔,米悦,等.后循环短暂性脑缺血发作患者前庭自旋转试验特征[J].听力学及言语疾病杂志,2015,23(5):477-481.
[11] Azad MAK , Huang P , Liu G ,et al. Hyperhomocysteinemia and cardiovascular disease in animal model[J].Amino Acids,2017,50(1):3-9.
[12] 诸越瑾, 张华, 姚洪锋. Hcy、MPV、hs-CRP及FIB对急性脑梗死诊断的价值[J].检验医学, 2015, 30(12):1219-1221. |
|
|
|
2019, Vol. 36 
