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目的探讨基底节区扩大的血管周围间隙与颈内动脉系统的大动脉粥样硬化性脑梗死愈后的关系。方法收集2014年1月至2015年8月在我院神经内科收治的颈内动脉系统的大动脉粥样硬化性急性脑梗死患者,根据基底节区血管周围间隙评分分为EPVS组非EPVS组,采用美国国立卫生研究院卒中量表(NIHSS)及改良Rankin量(MRS)评定两组患者神经功能缺损程度及残障程度。结果发病1个月后两组患者NIHSS及MRS评分差异有统计学意义。结论扩大的血管周围间隙影响颈内动脉系统的大动脉粥样硬化性脑梗死的愈后,导致神经功能恢复差,残障程度重。
Objective To investigate the relationship between the enlarged perivascular space of basal ganglia and the worsening of atherosclerotic cerebral infarction in the internal carotid artery system. Methods Patients with large atherosclerotic cerebral infarction who were treated with internal carotid artery in our hospital from January 2014 to August 2015 were divided into EPVS group and non-EPVS group according to the perivascular clearance score of basal ganglia. National Institutes of Health Stroke Scale (NIHSS) and Modified Rankin Volume (MRS) were used to assess the extent of neurological deficits and disability in both groups. Results 1 month after onset of NIHSS and MRS scores of two groups were statistically significant differences. CONCLUSION: The enlarged perivascular space has a significant effect on the recovery of large atherosclerotic cerebral infarction in the internal carotid artery, resulting in poor recovery of neurological function and severe disability.