论文部分内容阅读
目的统计和评估综合医院神经科患皮质下型脑分水岭梗死的住院患者的临床特征、相关因素及预后转归。方法根据患者的影像学资料和临床体征,按照肌力评分标准将72例皮质下型脑分水岭梗死患者分为轻、重两组,回顾分析两组皮质下型脑分水岭梗死患者的临床资料,确定并分析两组患者的临床特征及转归。结果 72例皮质下型脑分水岭梗死患者中,重型组(肌力为0～1级)19例(26.4%),轻型组(肌力为2～5级)53例(73.6%);两组患者的脑梗死病史差异有统计学意义(P﹤0.05);调整年龄和性别之后,脑梗死病史和吸烟史的作用依然显著(P﹤0.05);总结了两组患者的临床特征。结论患皮质下型脑分水岭梗死的患者,瘫痪侧肌力可达0级或1级,且并不罕见,需提高临床医生对此的认识,患者既往有脑梗死病史和吸烟史发病后瘫痪较重的风险性较大,脑梗死病史和吸烟史与瘫痪程度关系密切。
Objective To analyze and evaluate the clinical characteristics, related factors and prognosis of inpatients with subcortical cerebral watershed infarction in general hospital neurology department. Methods According to the imaging data and clinical signs of the patients, 72 patients with subcortical cerebral watershed infarction were divided into mild and severe group according to the muscle strength score standard. The clinical data of two subgroups of subcortical cerebral watershed infarction patients were retrospectively analyzed. The clinical features and prognosis of the two groups were analyzed. Results In 72 patients with subcortical cerebral watershed infarction, 19 (26.4%) were in the severe group (grade 0 to 1) and 53 (73.6%) in the light group (2 to 5) There was significant difference in the history of cerebral infarction between the two groups (P <0.05). After adjusting for age and sex, the effect of history of cerebral infarction and smoking history were still significant (P <0.05). The clinical features of both groups were summarized. Conclusions Patients with subcortical cerebral watershed infarction have paralyzed lateral muscle strength up to grade 0 or 1, and it is not uncommon for clinicians to be more aware of this. Patients with previous history of cerebral infarction and paralysis after the onset of smoking history Severe risk of larger, a history of cerebral infarction and smoking history and the extent of paralysis.