本文選題：腦梗死 + 遠(yuǎn)隔損害�。� 參考：《山東大學(xué)學(xué)報(醫(yī)學(xué)版)》2016年06期

【摘要】：目的探討導(dǎo)致急性期腦梗死后遠(yuǎn)隔損害的影像及臨床表現(xiàn)相關(guān)預(yù)測因素。方法分析2014年6月至12月在山東大學(xué)第二醫(yī)院住院治療的連續(xù)納入的單側(cè)大腦中動脈供血區(qū)梗死患者106例臨床資料。按梗死后14 d是否出現(xiàn)遠(yuǎn)隔損害影像學(xué)表現(xiàn)分為陽性組(39例)與陰性組(67例),進(jìn)行單因素相關(guān)分析,并繼續(xù)追蹤其梗死后3個月臨床結(jié)局。結(jié)果影像學(xué)陽性患者39例,陽性率36%。陽性組其3個月臨床結(jié)局差于陰性組(mRS評分,U=1 446.500,P=0.022);單因素分析顯示,陽性組入院時美國國立衛(wèi)生研究院卒中量表(NIHSS)評分高于陰性組(U=960.000,P0.01),陽性組早期癥狀改善率低于陰性組(24 h NIHSS評分降低≥4分或降至0分;χ2=19.758,P0.01)。結(jié)論入院時NIHSS評分和早期癥狀改善是急性期腦梗死后遠(yuǎn)隔損害的相關(guān)因素。
[Abstract]:Objective to investigate the imaging and clinical manifestations of distant lesions after acute cerebral infarction. Methods the clinical data of 106 consecutive patients with unilateral middle cerebral artery (MCAA) infarction who were hospitalized in the second Hospital of Shandong University from June to December 2014 were analyzed. According to the imaging findings of distant lesion 14 days after infarction, 39 cases were divided into positive group (39 cases) and negative group (67 cases). Univariate correlation analysis was carried out, and the clinical outcome was continued to be tracked 3 months after infarction. Results 39 cases were positive in imaging, the positive rate was 36%. The clinical outcome of the positive group was worse than that of the negative group in 3 months. At admission, the NIHSS score of the positive group was higher than that of the negative group, and the improvement rate of the early symptoms in the positive group was lower than that in the negative group at 24 h or more than that in the negative group. Conclusion the NIHSS score and the improvement of early symptoms on admission are related factors of distant lesion after acute cerebral infarction.
【作者單位】： 山東大學(xué)第二醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R743.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 陳淑芬;韓翔;史朗峰;李威;王少石;陶慶玲;任傳成;董強(qiáng);;急性期腦梗死靜脈溶栓治療的有效性評價[J];中華腦血管病雜志(電子版);2009年06期

【共引文獻(xiàn)】

相關(guān)期刊論文 前3條

1 朱碧宏;王志敏;黃丹江;韓釗;;基層醫(yī)院阿替普酶在腦梗死4.5h內(nèi)靜脈溶栓的回顧性分析[J];中國新藥雜志;2012年11期

2 王世芳;肖衛(wèi)民;吳志強(qiáng);;急性腦梗死靜脈溶栓早期治療效果的多因素分析[J];中華腦血管病雜志(電子版);2012年02期

3 姚春杰;;不同劑量阿司匹林在腦梗死急性期臨床應(yīng)用效果觀察[J];中國醫(yī)療前沿;2012年06期

【二級參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 曾軍,洪震,黃茂盛,周玢,金美華,沈明庭,呂傳真;上海腦卒中急性期死亡的流行病學(xué)研究[J];中國臨床神經(jīng)科學(xué);2001年04期

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 尹曉R，

本文編號：1955149