神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
Neural Injury and Functional Reconstruction
2015年
6期
488-490,496
,共4页
缺血性脑卒中%踝肱指数%心脑血管事件%预后
缺血性腦卒中%踝肱指數%心腦血管事件%預後
결혈성뇌졸중%과굉지수%심뇌혈관사건%예후
ischemic stroke%ankle-brachial index%cardiovascular and cerebrovascular events%prognosis
目的：探讨心脑血管事件的发生率与踝肱系数（ABI）的相关性，评估 ABI 在缺血性脑卒中患者预后判断中的临床意义。方法：选取缺血性脑卒中患者120例，用四肢同步自动测量动脉硬化检测仪测量 ABI 值，根据 ABI 值是否正常将患者分为正常 ABI 组68例和低 ABI 组52例。随访18月，记录心脑血管事件的发生情况，分析心脑血管事件与 ABI 的相关性。结果：与正常 ABI 组比较，低 ABI 组心脑血管事件的发生率较高（36.54% v.s.11.77%，P=0.001）；多因素 Logistic 回归分析显示低 ABI 是缺血性脑卒中患者心脑血管事件发生的独立危险因子（P=0.014）。结论：ABI 可作为缺血性脑卒中患者预后判断的指标。
目的：探討心腦血管事件的髮生率與踝肱繫數（ABI）的相關性，評估 ABI 在缺血性腦卒中患者預後判斷中的臨床意義。方法：選取缺血性腦卒中患者120例，用四肢同步自動測量動脈硬化檢測儀測量 ABI 值，根據 ABI 值是否正常將患者分為正常 ABI 組68例和低 ABI 組52例。隨訪18月，記錄心腦血管事件的髮生情況，分析心腦血管事件與 ABI 的相關性。結果：與正常 ABI 組比較，低 ABI 組心腦血管事件的髮生率較高（36.54% v.s.11.77%，P=0.001）；多因素 Logistic 迴歸分析顯示低 ABI 是缺血性腦卒中患者心腦血管事件髮生的獨立危險因子（P=0.014）。結論：ABI 可作為缺血性腦卒中患者預後判斷的指標。
목적：탐토심뇌혈관사건적발생솔여과굉계수（ABI）적상관성，평고 ABI 재결혈성뇌졸중환자예후판단중적림상의의。방법：선취결혈성뇌졸중환자120례，용사지동보자동측량동맥경화검측의측량 ABI 치，근거 ABI 치시부정상장환자분위정상 ABI 조68례화저 ABI 조52례。수방18월，기록심뇌혈관사건적발생정황，분석심뇌혈관사건여 ABI 적상관성。결과：여정상 ABI 조비교，저 ABI 조심뇌혈관사건적발생솔교고（36.54% v.s.11.77%，P=0.001）；다인소 Logistic 회귀분석현시저 ABI 시결혈성뇌졸중환자심뇌혈관사건발생적독립위험인자（P=0.014）。결론：ABI 가작위결혈성뇌졸중환자예후판단적지표。
Objective: To study the correlation between cardiovascular and cerebrovascular events and an-kle-brachial index(ABI), and then to explore the clinical significance of ABI in predicting prognosis in patients with ischemic strokes. Methods: A total of 120 patients with ischemic strokes were enrolled. A synchronous measure-ment device of four limbs' atherosclerosis was used to measure patients' ABI and then the patients were divided into normal ABI group (n=68) and low ABI group (n=52) according the ABI examination. All patients had been fol-lowed up over 18-months for observing the cardiovascular and cerebrovascular events. The correlation between car-diovascular and cerebrovascular events and ABI was analyzed. Results: The low ABI group had significant higher incidence of cardiovascular and cerebrovascular events than the normal ABI group (36.54% v.s. 11.77%,P=0.001). Multiple factor Logistic regression analysis indicated that low ABI was an independent prediction factor for the events (P=0.014). Conclusion: ABI can be used as a prognostic indicator in patients with ischemic stroke.
