【摘要】：目的探討腦白質(zhì)病變(WML)與急性腦梗死(ACI)患者近期預后的關系。方法選擇合并WML的ACI患者40例(WML組),同期未合并WML的ACI患者40例(對照組)。收集所有患者病歷資料(一般資料、入院時實驗室檢查結(jié)果),采用改良Rankin預后等級量表評分(MRS)評價患者近期(出院1個月)預后;根據(jù)MRS將患者分為預后良好組46例、預后不良組34例;用受試者工作特征(ROC)曲線評價WML對ACI預后評價的價值;采用二元Logistic回歸分析WML與ACI患者近期預后的關系。結(jié)果與對照組比較,WML組年齡、MRS評分高(P均0.05);與預后良好組比較,預后不良組年齡、WML患病率、入院時美國國立衛(wèi)生院神經(jīng)功能缺損量表(NIHSS)評分高(P均0.05);年齡、WML、NIHSS評分評估ACI患者近期預后的ROC曲線下面積分別為0.71、0.64、0.74;經(jīng)二元Logistic回歸分析發(fā)現(xiàn),WML是ACI患者近期預后的危險因素(OR=2.65,P0.05)。結(jié)論合并WML的ACI患者近期預后不良。
[Abstract]:Objective to investigate the relationship between (WML) and short-term prognosis of patients with acute cerebral infarction (ACI). Methods 40 patients with ACI complicated with WML (WML group) and 40 patients with ACI without WML at the same time (control group) were selected. The clinical data of all patients (general data, laboratory results at admission) were collected, and the short-term prognosis of patients was evaluated by modified Rankin prognosis rating scale (MRS). According to MRS, the patients were divided into good prognosis group (46 cases) and poor prognosis group (34 cases). The value of WML in evaluating the prognosis of ACI was evaluated by (ROC) curve of subjects' working characteristics. The relationship between WML and short-term prognosis of ACI patients was analyzed by binary Logistic regression. Results compared with the control group, the age and MRS score of the WML group were higher than those of the control group, and the age of the poor prognosis group, the prevalence of WML and the (NIHSS) score of the neurologic deficit scale of the National Hospital of Health at admission were higher than those of the control group, and the area under the ROC curve of age and WML,NIHSS score for evaluating the short-term prognosis of ACI patients were 0.71, 0.64 and 0.74, respectively. Binary Logistic regression analysis showed that WML was a risk factor for short-term prognosis of ACI patients (OR=2.65,P0.05). Conclusion the short-term prognosis of ACI patients with WML is poor.
【作者單位】： 安徽省醫(yī)科大學第一附屬醫(yī)院;壽縣縣醫(yī)院;
【基金】：安徽省自然科學基金資助項目(1508085SMH228)
【分類號】：R743.33

【相似文獻】

相關期刊論文 前5條

1 林正豪;潘速躍;;振幅整合腦電圖對昏迷患者近期預后的預測價值[J];中國醫(yī)藥指南;2012年23期

2 唐斌;王貴富;劉中杰;;高血壓腦出血患者血壓對血腫擴大及近期預后的影響[J];航空航天醫(yī)學雜志;2013年07期

3 田沈;周鐵柱;徐傳麗;周環(huán);高連波;;卒中后排泄障礙患者的臨床表現(xiàn)及近期預后指標變化觀察[J];中國誤診學雜志;2012年01期

4 代瑞蘭;趙紅印;;比較院前急救與院內(nèi)急救模式對腦出血患者近期預后的影響[J];中國現(xiàn)代藥物應用;2013年13期

5 ;[J];;年期

相關碩士學位論文 前2條

1 汪云;和肽素與急性缺血性腦卒中病情及近期預后的關系[D];蚌埠醫(yī)學院;2014年

2 賈海霞;88例GBS臨床表現(xiàn)及近期預后相關性分析[D];山西醫(yī)科大學;2010年

，

本文編號：2501502