《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 320-322.

• 临床研究 • 上一篇    下一篇

脑白质疏松症对急性脑梗死患者近期预后的影响

高琳芝1a，张爱娟2，王素珍1b，沈月1a
   

  1. 1.潍坊医学院，a.研究生院；b.卫生统计学教研室，山东潍坊市261053；2.潍坊市脑科医院神经内科，山东潍坊市261021。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Impacts of Leukoaraiosis on Short-term Outcome of Acute Cerebral Infarction

GAO Lin-zhi1a, ZHANG Ai-juan2, WANG Su-zhen1b, SHEN Yue1a
   

  1. 1. a. Graduate School; b. Department of Health Statistics, Weifang Medical University, Weifang, Shandong 261053, China; 2. Department of Neurology, Brain Hospital ofWeifang,Weifang, Shandong 261021, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

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摘要： 目的探讨脑白质疏松症对急性脑梗死预后的影响。方法收集2012 年1 月~2014 年8 月在潍坊市脑科医院住院的204 例急性脑梗死患者的临床资料。根据颅脑磁共振表现，将其分为4 组：脑梗死不伴脑白质疏松组和脑梗死分别伴1 级、2 级、3级脑白质疏松组。以脑梗死近期预后良好与否为因变量，16 个可能的影响因素为自变量进行非条件Logistic 回归分析。结果脑白质疏松、年龄、高血压和梗死大小为脑梗死近期预后不良的危险因素(均OR>1, P<0.05)。结论脑白质疏松症是急性脑梗死近期预后不良的独立危险因素。

关键词: 脑白质疏松, 急性脑梗死, 预后, 近期

Abstract: Objective To explore the impacts of leukoaraiosls (LA) on the short-term outcome of acute cerebral infarction. Methods 204 patients after acute cerebral infarction were reviewed from January 2012 to August 2014. They were divided into 4 groups according to the brain magnetic resonance imaging: cerebral infarction without LA (LA-0), and with LA (LA-1, LA-2 and LA-3). The Logistic regression analysis was applied with the short-term outcome of cerebral infarction as the dependent variable, and 16 possible factor as independent variables. Results There were 4 independent factors risk to the worse outcome of acute cerebral infarction, including LA, age, hypertension and cerebral infarction size (OR>1, P<0.05). Conclusion LA is an independent risk factors to the worse short-term outcome of acute cerebral infarction.

Key words: leukoaraiosis, cerebral infarction, outcome, short-term