进展性卒中患者预后及相关因素的临床分析

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目的评估60例进展性卒中患者15d预后,探讨相关影响因素与不同受累血管与预后的相关性。方法60例进展性卒中患者均在入院时进行美国国立卫生院神经功能缺损量表(NIHSS)、改良Rankin残障量表(MKS)评估,病后15d进行MRS评估,分析患者15d预后,系统评价病变部位及受累血管,并与预后不良进行相关分析。结果60例患者,病后15d死亡率3.33%,致残率86.67%,大脑中动脉主干重度狭窄25例,大脑中动脉主干中度狭窄16例,椎基底动脉中、重度狭窄11例,颅内多根血管狭窄8例,办法糖尿病、高血压病者42例,大量饮酒、吸烟者18例。结论进展性卒中的发生率及预后与患者颅内动脉狭窄的程度呈正相关,与糖尿病、高血压的控制程度密切相关,大部分进展性卒中患者预后较差,致残率相对较高。 Objective To evaluate the 15-day prognosis of 60 patients with advanced stroke, and to explore the correlation between the related factors and the different affected vessels and prognosis. Methods Sixty patients with progressive stroke underwent National Institutes of Health neurological deficit test (NIHSS) and Modified Rankin Disability Inventory (MKS) at admission. MRS assessment was performed 15 days after the stroke. The prognosis was evaluated 15 days later, Parts and affected blood vessels, and poor prognosis and related analysis. Results The 60 patients had a morbidity of 3.33%, a morbidity of 86.67% at 15 days after injury, 25 cases of severe stenosis of middle cerebral artery, 16 cases of moderate stenosis of middle cerebral artery, 11 cases of moderate or severe vertebrobasilar artery stenosis, Multi-root stenosis in 8 cases, methods of diabetes, hypertension in 42 cases, a large number of alcohol consumption, smokers in 18 cases. Conclusions The incidence and prognosis of progressive stroke are positively correlated with the degree of intracranial arterial stenosis in patients with diabetes. It is closely related to the degree of control of hypertension and hypertension. Most advanced stroke patients have poor prognosis and relatively high morbidity.
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