【摘要】：目的探討不同牛津郡社區(qū)腦卒中項目(OCSP)分型老年腦梗死患者急性期神經(jīng)功能缺損及預(yù)后情況。方法 189例老年急性腦梗死患者進行OCSP分型后比較分型與影像學(xué)診斷結(jié)果的一致性,比較OCSP各型的美國國立衛(wèi)生研究院腦卒中量表(NIHSS)評分和Barthel指數(shù)評分,隨訪跟蹤90 d觀察預(yù)后情況。結(jié)果完全前循環(huán)梗死型(PACI)在4種類型中構(gòu)成比為46.03%,且與腔隙性梗死型(LACI)、完全前循環(huán)梗死型(TACI)及后循環(huán)梗死型(POCI)亞型均有統(tǒng)計學(xué)差異(P0.05);OCSP分型與影像學(xué)診斷分型結(jié)果的一致率為84.66%(160/189),各亞型的一致率為TACI 84.00%、PACI 90.91%、POCI 76.47%、LACI 80.00%;各亞型NIHSS評分顯示,TACI最高,其次是PACI、POCI,LACI最低(P0.05);發(fā)病90 d時,死亡率TACIPOCIPACILACI,TACI與其他各亞型差異有統(tǒng)計學(xué)意義(P0.05);Barthel指數(shù)評分TACIPOCIPACILACI,TACI與其他各亞型差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論不同OCSP分型的老年腦梗死急性期神經(jīng)功能缺損情況及90 d預(yù)后情況存在較大差異,且OCSP分型對老年腦梗死患者治療及預(yù)后有較大的指導(dǎo)作用。
[Abstract]:Objective to investigate the neurologic deficit and prognosis of elderly patients with acute cerebral infarction according to (OCSP) classification of different community stroke projects in Oxfordshire. Methods the OCSP classification of 189 elderly patients with acute cerebral infarction was compared with the results of imaging diagnosis. The (NIHSS) score and Barthel index score of the stroke scale of the National Institutes of Health (NIH) of OCSP were compared. Patients were followed up for 90 days to observe the prognosis. Results the constituent ratio of complete anterior circulation infarction type (PACI) was 46.03, and there was statistical difference between complete anterior circulation infarct type (TACI) and posterior circulation infarct type (POCI) subtype in lacunar infarction type (LACI), (P0.05). The consistent rate of OCSP classification and imaging diagnosis was 84.66% (160 / 189). The consistent rate of each subtype was TACI 84.00 and PACI90.91. The NIHSS score of each subtype showed that TACI was the highest, followed by PACI,POCI,LACI (P0.05), the mortality rate of TACIPOCIPACILACI,TACI was significantly different from that of other subtypes at 90 days (P0.05). Barthel index score TACIPOCIPACILACI,TACI was significantly different from other subtypes (P0.05). Conclusion there are significant differences in neurological deficit and 90-day prognosis in elderly patients with acute cerebral infarction according to different OCSP classification, and OCSP classification has a great guiding effect on the treatment and prognosis of elderly patients with cerebral infarction.
【作者單位】： 承德醫(yī)學(xué)院附屬醫(yī)院神經(jīng)內(nèi)科;
【基金】：承德市科學(xué)技術(shù)局科技支撐計劃(No.201606A050)
【分類號】：R743.33

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