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目的比较房颤脑梗塞与非房颤脑梗塞的临床症状、影像学特点及预后。方法回顾性分析64例房颤脑梗塞及144例非房颤脑梗塞患者的临床及影像学资料。结果房颤脑梗塞与非房颤脑梗塞患者的NIHSS评分(9.53±7.44、3.86±3.56校正t值5.85,P<0.01)、病灶范围(多、大/单、小)(76.56%、31.25%,X~2=36.75,P<0.01)、出血转化率(26.56%、1.4%,校正X~2=30.86,P<0.01)、不良预后率(37.5%、11.81%,X~2=18.48,P<0.01)的比较均有显著性差异。结论房颤脑梗塞的致残率更高,出血转化率更高,不良预后率更高,我们应该积极做好一二级预防。
Objective To compare the clinical symptoms, imaging features and prognosis of atrial fibrillation with and without atrial fibrillation in patients with atrial fibrillation. Methods The clinical and imaging data of 64 patients with atrial fibrillation cerebral infarction and 144 patients with non-AF cerebral infarction were retrospectively analyzed. Results The NIHSS score (9.53 ± 7.44, 3.86 ± 3.56, t = 5.85, P <0.01) was significantly higher in patients with AF and non-AF (76.56%, 31.25% , X ~ 2 = 36.75, P <0.01). The rates of hemorrhage conversion (26.56%, 1.4%, X ~ 2 = 30.86, P <0.01) and poor prognosis (37.5%, 11.81% P <0.01) compared with significant differences. Conclusion Atrial fibrillation has a higher morbidity of cerebral infarction, a higher rate of hemorrhage conversion and a higher rate of poor prognosis. We should make a good first or second prevention.