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背景:英国牛津郡社区脑卒中项目(OxfordshireCommunityStrokeProject,OCSP)是1991年在英国牛津社区进行脑卒中大规模调查基础上提出的脑梗死的新的分型方法,完全根据患者的临床表现而分型,不需要临床仪器的检查,而且准确的分型还可以预测患者病变的大小、部位和受累的血管。目的:了解脑梗死患者OCSP中Bamford的临床分型及其各型远期功能预后。设计:以患者为研究对象,观察对比、验证性研究。单位:一所大学医院的神经内科。对象:2001-01-01/12-31西安交通大学第一医院神经内科住院脑血管病患者126例,男82例,女44例。方法:采用Bamford的OCSP分型法,对126例住院脑梗死患者进行分型,并于出院时、出院3个月和6个月后应用Barthel指数(Barthelindex,BI)和改良Rankin量表评分(modifyRankinScale,mRS)评估残疾程度。主要观察指标:脑梗死患者OCSP分型及其各型患者出院时,出院3,6个月时BI,mRS评分。结果:在126例脑梗死患者中,完全前循环梗死(TACI)8例(6.3%),部分前循环梗死(PACI)29例(23.0%),腔隙性梗死(LACI)78例(61.9%),后循环梗死(POCI)11例(8.7%);随访期间12例患者死亡,114例完成了6个月随访,TACI的预后最差,POCI和LACI预后相对较好,PACI次之。结论:脑梗死以LACI居多,OCSP分型可有效预测脑梗死患者远期预后功能?
BACKGROUND: The Oxfordshire Community Stroke Project (OCSP) is a new classification method of cerebral infarction proposed on the basis of a large-scale stroke investigation in the Oxford community in 1991 in the United Kingdom. It was completely classified according to the clinical manifestations of the patients, Does not require clinical examination, and accurate typing can also predict the size of patients with lesions, parts and affected blood vessels. Objective: To understand the clinical classification of Bamford and its long-term functional prognosis in patients with cerebral infarction. Design: Patients as the research object, observe the contrast, confirmatory research. Unit: Neurology of a university hospital. PARTICIPANTS: 126 patients with cerebrovascular disease admitted to Department of Neurology, The First Hospital of Xi’an Jiaotong University from January 1, 2001 to December 31 were 82 males and 44 females. Methods: Bamford’s OCSP classification method was used to classify 126 hospitalized patients with cerebral infarction. At the time of discharge, 3 and 6 months after discharge, Barthel index (BI) and modified Rankin scale ( modifyRankinScale, mRS) to assess the degree of disability. MAIN OUTCOME MEASURES: The scores of BI and mRS at 3 and 6 months after discharge from hospital were analyzed. Results: Among 126 patients with cerebral infarction, TACI was found in 8 patients (6.3%), partial anterior circulation infarction (PACI) in 29 patients (23.0%), lacunar infarction (LACI) in 78 patients ) And posterior circulation infarction (POCI) in 11 patients (8.7%). During the follow-up period, 12 patients died and 114 patients completed the 6-month follow-up. The prognosis of TACI was the worst. The prognosis of POCI and LACI was relatively good and PACI was the second. Conclusion: Most cerebral infarction patients with LACI, OCSP classification can effectively predict long-term prognosis of patients with cerebral infarction function?