中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
10期
28-30
,共3页
大脑半球%急性脑梗死%大脑中动脉%预后%左侧%右侧
大腦半毬%急性腦梗死%大腦中動脈%預後%左側%右側
대뇌반구%급성뇌경사%대뇌중동맥%예후%좌측%우측
Hemisphere%Acute ischemic stroke%Middle cerebral artery%Outcome%Left%Right
目的：探讨左右两侧大脑半球急性脑梗死的临床特点。方法回顾性分析282例急性脑梗死患者，按照梗死部位分为左侧大脑半球脑梗死组152例和右侧大脑半球脑梗死组130例，分别对2组患者临床资料进行比较。结果左侧脑梗死组的发病率、入院时NIHSS评分和GCS评分、病死率高于右侧脑梗死组，差异有统计学意义（P＜0.05）。左侧大脑中动脉支配区脑梗死发病率高于右侧大脑中动脉支配区脑梗死，差异有统计学意义（ P＜0.05）。结论左侧大脑半球急性脑梗死发病率高于右侧，且病情重、病死率高，提示不同侧大脑半球脑梗死的临床特点存在差异。
目的：探討左右兩側大腦半毬急性腦梗死的臨床特點。方法迴顧性分析282例急性腦梗死患者，按照梗死部位分為左側大腦半毬腦梗死組152例和右側大腦半毬腦梗死組130例，分彆對2組患者臨床資料進行比較。結果左側腦梗死組的髮病率、入院時NIHSS評分和GCS評分、病死率高于右側腦梗死組，差異有統計學意義（P＜0.05）。左側大腦中動脈支配區腦梗死髮病率高于右側大腦中動脈支配區腦梗死，差異有統計學意義（ P＜0.05）。結論左側大腦半毬急性腦梗死髮病率高于右側，且病情重、病死率高，提示不同側大腦半毬腦梗死的臨床特點存在差異。
목적：탐토좌우량측대뇌반구급성뇌경사적림상특점。방법회고성분석282례급성뇌경사환자，안조경사부위분위좌측대뇌반구뇌경사조152례화우측대뇌반구뇌경사조130례，분별대2조환자림상자료진행비교。결과좌측뇌경사조적발병솔、입원시NIHSS평분화GCS평분、병사솔고우우측뇌경사조，차이유통계학의의（P＜0.05）。좌측대뇌중동맥지배구뇌경사발병솔고우우측대뇌중동맥지배구뇌경사，차이유통계학의의（ P＜0.05）。결론좌측대뇌반구급성뇌경사발병솔고우우측，차병정중、병사솔고，제시불동측대뇌반구뇌경사적림상특점존재차이。
Objective To explore differences in clinical characteristics between left hemispheric acute ischemic stroke (LHS) and right hemispheric acute ischemic stroke(RHS).Methods Totally 282 cases of ischemic strokes patients were retro‐spectively studied. There were 152 patients with LHS group and 130 patients with RHS group. We compared with clinical in‐formation between the two groups.Results Compared with the RHS ,there were higher frequency ,higher NIHSS scores ,low‐er GCS scores and higher mortality in the LHS(P<0.05). There were significantly more ischemic events in different middle cerebral artery distribution (P<0.05).Conclusion LHS are more common ,more severe ,poorer outcome and higher mortality than RHS ,which may indicate that differences in clinical characteristics between LHS and RHS.
