Safronova M N, Mizurkina O A, Kovalenko A V, Barbarash O L
Kemerovo State Medical Academy; Regional Clinical Hospital for Veterans of Wars, Kemerovo.
Kemerovo Cardiological Clinic.
Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(3 Pt 2):31-35. doi: 10.17116/jnevro20161163231-35.
To study an effect of stenosing lesions of carotid arteries on the recovery of speech functions in acute stroke patients.
Medical histories of 253 patients (median age 58 [52,63]) with acute left hemispheric ischemic and hemorrhagic stroke and motor or sensorimotor aphasia were analyzed. The severity of atherosclerotic lesion of brachiocephalic arteries was assessed using color duplex scanning. According to the results of duplex scanning, patients were divided into 3 groups: 1 - without stenosis of extracranial arteries; 2 - with ≤50% stenosis of carotid arteries; 3 - with >50% stenosis of carotid arteries.
Stenosis greater than 50% (group 3) was a predictor of the poor recovery of speech function while stenosis less than 50% (groups 1 and 2) had no effect on the outcome.
The severe atherosclerosis of carotid arteries had a negative effect on speech recovery in acute stroke patients.
研究颈动脉狭窄性病变对急性脑卒中患者言语功能恢复的影响。
分析253例（中位年龄58岁[52,63]）急性左半球缺血性和出血性脑卒中伴运动性或感觉运动性失语患者的病史。采用彩色双功扫描评估头臂动脉粥样硬化病变的严重程度。根据双功扫描结果，将患者分为3组：1组 - 颅外动脉无狭窄；2组 - 颈动脉狭窄≤50%；3组 - 颈动脉狭窄>50%。
大于50%的狭窄（3组）是言语功能恢复不良的预测因素，而小于50%的狭窄（1组和2组）对结果无影响。
颈动脉严重动脉粥样硬化对急性脑卒中患者的言语恢复有负面影响。
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