实用医学杂志
實用醫學雜誌
실용의학잡지
THE JOURNAL OF PRACTICAL MEDICINE
2014年
9期
1408-1411
,共4页
王崇%王建明%严严%董瑞国
王崇%王建明%嚴嚴%董瑞國
왕숭%왕건명%엄엄%동서국
卒中%脑缺血%椎动脉%致命性结局%预后%危险因素
卒中%腦缺血%椎動脈%緻命性結跼%預後%危險因素
졸중%뇌결혈%추동맥%치명성결국%예후%위험인소
Stroke%Brain ischemia%Vertebral artery%Fatal outcome%Prognosis%Risk factors
目的:探讨改良后用于磁共振评分的后循环急性卒中预后早期CT量表(MRI-PC-ASPECTS)联合美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)及变换值预测后循环缺血性脑卒中远期预后的价值。方法:78例南通大学附属建湖医院神经内科住院的急性后循环缺血性卒中住院患者,根据患者3个月后改良Rankin量表(modified Rankin scale,MRS)分为好转组和不良转归组。比较2组基线资料、危险因素、NIHSS、T入院NIHSS、最高NIHSS、T最高NIHSS(42-最高NIHSS)及MRI-PC-ASPECTS。结果:2组间性别、年龄、既往病史、血压等差异无统计学意义(P>0.05);2组间入院NIHSS、T入院NIHSS、最高NIHSS、T最高NIHSS、MRI-PC-ASPECTS指标的差异具有统计学意义(P<0.05)。受试者工作特征曲线显示MRI-PC-ASPECTS+T最高NIHSS曲线下面积最大(P<0.05)。结论:改良MRI-PC-ASPECTS,T最高NIHSS可对后循环缺血性脑卒中功能预后进行早期预测,若二者联合则预测的准确性更好。
目的:探討改良後用于磁共振評分的後循環急性卒中預後早期CT量錶(MRI-PC-ASPECTS)聯閤美國國立衛生研究院卒中量錶(national institute of health stroke scale,NIHSS)及變換值預測後循環缺血性腦卒中遠期預後的價值。方法:78例南通大學附屬建湖醫院神經內科住院的急性後循環缺血性卒中住院患者,根據患者3箇月後改良Rankin量錶(modified Rankin scale,MRS)分為好轉組和不良轉歸組。比較2組基線資料、危險因素、NIHSS、T入院NIHSS、最高NIHSS、T最高NIHSS(42-最高NIHSS)及MRI-PC-ASPECTS。結果:2組間性彆、年齡、既往病史、血壓等差異無統計學意義(P>0.05);2組間入院NIHSS、T入院NIHSS、最高NIHSS、T最高NIHSS、MRI-PC-ASPECTS指標的差異具有統計學意義(P<0.05)。受試者工作特徵麯線顯示MRI-PC-ASPECTS+T最高NIHSS麯線下麵積最大(P<0.05)。結論:改良MRI-PC-ASPECTS,T最高NIHSS可對後循環缺血性腦卒中功能預後進行早期預測,若二者聯閤則預測的準確性更好。
목적:탐토개량후용우자공진평분적후순배급성졸중예후조기CT량표(MRI-PC-ASPECTS)연합미국국립위생연구원졸중량표(national institute of health stroke scale,NIHSS)급변환치예측후순배결혈성뇌졸중원기예후적개치。방법:78례남통대학부속건호의원신경내과주원적급성후순배결혈성졸중주원환자,근거환자3개월후개량Rankin량표(modified Rankin scale,MRS)분위호전조화불량전귀조。비교2조기선자료、위험인소、NIHSS、T입원NIHSS、최고NIHSS、T최고NIHSS(42-최고NIHSS)급MRI-PC-ASPECTS。결과:2조간성별、년령、기왕병사、혈압등차이무통계학의의(P>0.05);2조간입원NIHSS、T입원NIHSS、최고NIHSS、T최고NIHSS、MRI-PC-ASPECTS지표적차이구유통계학의의(P<0.05)。수시자공작특정곡선현시MRI-PC-ASPECTS+T최고NIHSS곡선하면적최대(P<0.05)。결론:개량MRI-PC-ASPECTS,T최고NIHSS가대후순배결혈성뇌졸중공능예후진행조기예측,약이자연합칙예측적준학성경호。
Objective To investigate the value of modified NIHSS and MRI-PC-ASPECTS for the long-term prognosis in posterior circulation ischemic stroke. Methods Seventy eight patients with posterior circulation ischemic stroke were divided into two groups depended on MRS: good outcome group and bad outcome group. General information of patients was collected and vascular risk factors, NIHSS, MRI-PC-ASPECTS of the two groups were compared. Results The scores of admission NIHSS and highest NIHSS of bad outcome group were higher than that of good outcome group. The scores of MRI-PC-ASPECTS, T admission NIHSS (42-admission NIHSS) and T highest NIHSS of bad outcome group were lower than that of good outcome group (P<0.05). The areas under the ROC curves of MRI-PC-ASPECTS+T highest NIHSS, MRI-PC-ASPECTS, T highest NIHSS and T admission NIHSS were 0.907, 0.821, 0.870, 0.744, respectively (P<0.05). Conclusion NIHSS and MRI-PC-ASPECTS can predict the functional prognosis in patients with posterior circulation ischemic stroke.