急性期脑梗死后远隔部位损害的临床相关因素

发布时间：2018-05-30 11:32

本文选题：脑梗死 + 远隔损害　；参考：《山东大学学报(医学版)》2016年06期

【摘要】：目的探讨导致急性期脑梗死后远隔损害的影像及临床表现相关预测因素。方法分析2014年6月至12月在山东大学第二医院住院治疗的连续纳入的单侧大脑中动脉供血区梗死患者106例临床资料。按梗死后14 d是否出现远隔损害影像学表现分为阳性组(39例)与阴性组(67例),进行单因素相关分析,并继续追踪其梗死后3个月临床结局。结果影像学阳性患者39例,阳性率36%。阳性组其3个月临床结局差于阴性组(mRS评分,U=1 446.500,P=0.022);单因素分析显示,阳性组入院时美国国立卫生研究院卒中量表(NIHSS)评分高于阴性组(U=960.000,P0.01),阳性组早期症状改善率低于阴性组(24 h NIHSS评分降低≥4分或降至0分;χ2=19.758,P0.01)。结论入院时NIHSS评分和早期症状改善是急性期脑梗死后远隔损害的相关因素。
[Abstract]:Objective to investigate the imaging and clinical manifestations of distant lesions after acute cerebral infarction. Methods the clinical data of 106 consecutive patients with unilateral middle cerebral artery (MCAA) infarction who were hospitalized in the second Hospital of Shandong University from June to December 2014 were analyzed. According to the imaging findings of distant lesion 14 days after infarction, 39 cases were divided into positive group (39 cases) and negative group (67 cases). Univariate correlation analysis was carried out, and the clinical outcome was continued to be tracked 3 months after infarction. Results 39 cases were positive in imaging, the positive rate was 36%. The clinical outcome of the positive group was worse than that of the negative group in 3 months. At admission, the NIHSS score of the positive group was higher than that of the negative group, and the improvement rate of the early symptoms in the positive group was lower than that in the negative group at 24 h or more than that in the negative group. Conclusion the NIHSS score and the improvement of early symptoms on admission are related factors of distant lesion after acute cerebral infarction.
【作者单位】：山东大学第二医院神经内科;
【分类号】：R743.3

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