牛津郡社区脑卒中项目分型老年脑梗死患者急性期神经功能缺损及预后

发布时间：2018-11-17 12:56

【摘要】：目的探讨不同牛津郡社区脑卒中项目(OCSP)分型老年脑梗死患者急性期神经功能缺损及预后情况。方法 189例老年急性脑梗死患者进行OCSP分型后比较分型与影像学诊断结果的一致性,比较OCSP各型的美国国立卫生研究院脑卒中量表(NIHSS)评分和Barthel指数评分,随访跟踪90 d观察预后情况。结果完全前循环梗死型(PACI)在4种类型中构成比为46.03%,且与腔隙性梗死型(LACI)、完全前循环梗死型(TACI)及后循环梗死型(POCI)亚型均有统计学差异(P0.05);OCSP分型与影像学诊断分型结果的一致率为84.66%(160/189),各亚型的一致率为TACI 84.00%、PACI 90.91%、POCI 76.47%、LACI 80.00%;各亚型NIHSS评分显示,TACI最高,其次是PACI、POCI,LACI最低(P0.05);发病90 d时,死亡率TACIPOCIPACILACI,TACI与其他各亚型差异有统计学意义(P0.05);Barthel指数评分TACIPOCIPACILACI,TACI与其他各亚型差异有统计学意义(P0.05)。结论不同OCSP分型的老年脑梗死急性期神经功能缺损情况及90 d预后情况存在较大差异,且OCSP分型对老年脑梗死患者治疗及预后有较大的指导作用。
[Abstract]:Objective to investigate the neurologic deficit and prognosis of elderly patients with acute cerebral infarction according to (OCSP) classification of different community stroke projects in Oxfordshire. Methods the OCSP classification of 189 elderly patients with acute cerebral infarction was compared with the results of imaging diagnosis. The (NIHSS) score and Barthel index score of the stroke scale of the National Institutes of Health (NIH) of OCSP were compared. Patients were followed up for 90 days to observe the prognosis. Results the constituent ratio of complete anterior circulation infarction type (PACI) was 46.03, and there was statistical difference between complete anterior circulation infarct type (TACI) and posterior circulation infarct type (POCI) subtype in lacunar infarction type (LACI), (P0.05). The consistent rate of OCSP classification and imaging diagnosis was 84.66% (160 / 189). The consistent rate of each subtype was TACI 84.00 and PACI90.91. The NIHSS score of each subtype showed that TACI was the highest, followed by PACI,POCI,LACI (P0.05), the mortality rate of TACIPOCIPACILACI,TACI was significantly different from that of other subtypes at 90 days (P0.05). Barthel index score TACIPOCIPACILACI,TACI was significantly different from other subtypes (P0.05). Conclusion there are significant differences in neurological deficit and 90-day prognosis in elderly patients with acute cerebral infarction according to different OCSP classification, and OCSP classification has a great guiding effect on the treatment and prognosis of elderly patients with cerebral infarction.
【作者单位】：承德医学院附属医院神经内科;
【基金】：承德市科学技术局科技支撑计划(No.201606A050)
【分类号】：R743.33

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