CAJ | 학술논문

目的：研究急性缺血性脑卒中 TOAST 分型的亚型构成特点及其与 OCSP 分型的关系。方法连续登记住院治疗的急性缺血性脑卒中患者368例，比较 TOAST 分型和 OCSP 分型的特点。结果 TOAST 分型中大动脉粥样硬化型119例（32.34％），小动脉闭塞型和不明原因型各114例（30.98％），心源性19例（5.16％），其他2例（0.54％）；其中大动脉粥样硬化型、小动脉闭塞型和不明原因型在 OCSP 亚型分布中有统计学差异（P ＜0.05），可表现为以腔隙综合征为主的多种临床表型。结论大动脉粥样硬化型，小动脉闭塞型和不明原因型是 TOAST 分型中的主要类型。 OCSP分型不能提示病因。
목적：연구급성결혈성뇌졸중 TOAST 분형적아형구성특점급기여 OCSP 분형적관계。방법련속등기주원치료적급성결혈성뇌졸중환자368례，비교 TOAST 분형화 OCSP 분형적특점。결과 TOAST 분형중대동맥죽양경화형119례（32.34％），소동맥폐새형화불명원인형각114례（30.98％），심원성19례（5.16％），기타2례（0.54％）；기중대동맥죽양경화형、소동맥폐새형화불명원인형재 OCSP 아형분포중유통계학차이（P ＜0.05），가표현위이강극종합정위주적다충림상표형。결론대동맥죽양경화형，소동맥폐새형화불명원인형시 TOAST 분형중적주요류형。 OCSP분형불능제시병인。
Objective To analyse the proportion of subtypes and the characteristics of the ischemic stroke classifications according to TOAST and OCSP criteria .Methods Data was consecutive prospectively collected from acute ischemic stroke inpatients in neurology department of wenzhou central hospital from may 2014 to november 2014 .Total 368 patients were enrolled .The proportion of subtypes and clinical characteristics were compared between the TOAST and OCSP classifications .Results The etiology subtype composition based on TOAST criteria was as follows :large artery atherosclerosis (LAA) 119 cases(32 .34% ) ,small artery occlusion(SAO) 114 cases (30 .98% ) ,UND 114 cases (30 .98% ) ,CE 19 cases(5 .16% ) ,ODC 2 cases(0 .54% ) .LAA ,SAO and CE subtypes had significant deviation on distribution of OCSP subtypes (P< 0 .05) ,a variety of clinical phenotypes and mainly lacunar infarct in OC -SP classification can be showed .Conclusions LAA ,SAO and UND are the predominant subtypes in TOAST classification .OCSP classification can not be used to predict etiological factors .