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目的观察发热对急性脑卒中的影响。方法分别对发病48小时和3周的495例缺血性脑卒中和161例出血性脑卒中患者进行神经功能缺损和Glassgow评分,并统计3周病死率,观察发热与急性脑卒中分型的关系及其影响。结果出血性脑卒中患者48小时神经功能缺损评分和Glassgow评分较重(P<0.05),发热比率高于缺血性脑卒中患者(P<0.01)。经分层分析,发热或无发热的出血性脑卒中组与缺血性脑卒中患者间3周病死率无显著差异(P>0.05)。缺血性脑卒中患者中,完全前循环梗死患者的发热率明显升高(66.1%)。结论发热多见于神经功能缺损严重和病死率高的出血性卒中患者和完全前循环梗死患者。
Objective To observe the effect of fever on acute stroke. Methods The neurological deficits and Glassgow scores of 495 ischemic stroke patients and 161 hemorrhagic stroke patients at 48 hours and 3 weeks after onset of illness were respectively evaluated. The 3-week mortality was also calculated. The relationship between fever and acute stroke was observed And its impact. Results The neurological impairment score and Glassgow score of patients with hemorrhagic stroke were higher than those of ischemic stroke patients (P <0.01). By stratified analysis, there was no significant difference in 3-week mortality between hemorrhagic stroke patients with or without fever and ischemic stroke patients (P> 0.05). Among patients with ischemic stroke, the incidence of fever in patients with complete anterior circulation infarction was significantly increased (66.1%). Conclusion Fever is more common in patients with hemorrhagic stroke and complete anterior circulation infarction with severe neurological deficit and high mortality.