CAJ | 학술논문

目的：探讨近期CT值变化与急性脑梗死（acute cerebral infarction，ACI）焦虑自评量表（SAS）及远期“健康调查简易量表”（SF-36）的关系。方法对比分析梗死灶近期4次CT平均值41例10 Hu以上、29例15 Hu以上、23例20 Hu以上者一般情况如年龄、性别、发病至入院时间、文化程度、神经功能缺损评分（NDS）、日常生活质量评分（ADL）及5个月后SAS、3年后SF-36各维度评分。结果近期内不同CT均值间一般情况如年龄、性别、发病至入院时间、文化程度、病情等比较无显著性差异（P>0.05）。近期梗死灶CT值降低程度越大（CT平均值越低），5个月后SAS越低（P<0.05），3年后SF-36各维度评分越高（P<0.05，P<0.01）。结论近期内CT变化不但为ACI患者治疗提供依据，而且对其焦虑的发生、发展及远期生活质量的程度进行判断。
목적：탐토근기CT치변화여급성뇌경사（acute cerebral infarction，ACI）초필자평량표（SAS）급원기“건강조사간역량표”（SF-36）적관계。방법대비분석경사조근기4차CT평균치41례10 Hu이상、29례15 Hu이상、23례20 Hu이상자일반정황여년령、성별、발병지입원시간、문화정도、신경공능결손평분（NDS）、일상생활질량평분（ADL）급5개월후SAS、3년후SF-36각유도평분。결과근기내불동CT균치간일반정황여년령、성별、발병지입원시간、문화정도、병정등비교무현저성차이（P>0.05）。근기경사조CT치강저정도월대（CT평균치월저），5개월후SAS월저（P<0.05），3년후SF-36각유도평분월고（P<0.05，P<0.01）。결론근기내CT변화불단위ACI환자치료제공의거，이차대기초필적발생、발전급원기생활질량적정도진행판단。
Objective Discussion of recent CT value in patients with acute cerebral infarction Self-Rating Anxiety Scale (SAS) and long-term "Health Easy Scale Survey" (SF-36) relationship.Method Comparative analysis of recent infarction CT 4 times more than the average of 41 cases of 10 Hu, 29 cases more than 15 Hu, 23 cases of 20 Hu or more general, such as age, sex, time from onset to hospitalization, education, neurologic deficit score (NDS) daily quality of life score (ADL) and five months after the SAS, 3 years after the SF-36 scores for each dimension.Result In the near future as there was no significant difference (P>0.05) by age, sex, time from onset to hospitalization, education, disease, etc. between different CT mean in general. Recent CT value decreased infarct greater extent (CT mean lower), five months after the lower SAS (P<0.05), 3 years after the SF-36 dimensions with higher scores (P<0.05,P<0.01). Conclusion CT changes in the near future will not only provide the basis for the treatment of patients with ACI, and to judge its occurrence, level of development and long-term quality of life of anxiety.