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目的探讨OCSP分型、CT分型联合应用对预测进展性脑梗死的价值。方法选择急性脑梗死患者446例,其中进展组110例,非进展组336例,根据标准对所有患者进行OCSP分型、CT分型,比较二组间分型构成的差异,对OCSP分型、CT分型联合应用与进展性脑梗死做相关性分析。结果在CT分型中,大梗死组最易出现病情进展,其次为脑干梗死组,然后是多发性梗死组,以后依次是中梗死组、小脑梗死组和小梗死组。卒中进展的OR值分别为6.103、5.409、3.589、2.889、2.078。在OCSP分型中,完全前循环梗死亚型最易发生病情进展,其次为后循环梗死,然后为多发腔梗,而部分前循环梗死患者进展率最低。完全前循环梗死与部分前循环梗死、多发腔梗、后循环梗死比较,卒中进展的OR值分别为6.451、5.272、2.536。结论 OCSP分型与CT分型联合应用,可能是预测急性缺血性卒中是否进展的一个敏感指标。
Objective To investigate the value of OCSP classification and CT classification in predicting progressive cerebral infarction. Methods A total of 446 patients with acute cerebral infarction were selected, including 110 cases in progression group and 336 cases in non-progression group. According to the standard, OCSP classification and CT classification were compared among all the patients. The differences of OCSP classification, Correlation analysis of CT typing and progressive cerebral infarction. Results In the CT classification, the progression was most likely to occur in the infarct group, followed by the brainstem infarction group and then the multiple infarction group, followed by the middle infarction group, the cerebellar infarction group and the small infarction group. The odds of stroke progression were 6.103,5.409,3.589,2.889,2.078 respectively. In the OCSP classification, complete anterior circulation infarction subtype most likely to have disease progression, followed by the posterior circulation infarction, and then multiple parietal infarcts, and some patients with anterior circulation infarction in the lowest rate of progress. The OR of complete anterior circulation infarction and partial anterior circulation infarction, multiple infarction and posterior circulation infarction were 6.451, 5.272 and 2.536 respectively. Conclusion The combination of OCSP classification and CT classification may be a sensitive index to predict the progress of acute ischemic stroke.