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为预测脑缺血患者早期功能恢复情况,通过前瞻性研究,对164例发病在72h内收住入院的脑缺血患者进行分析,其中男性90例,女性74例,平均年龄68.28±10.46岁,平均住院时间22.00±10.24天。入院当日按“临床神经功能缺损程度评分标准”评分,并作血常规、血沉、血糖、红细胞压积、CT或MRI检查,出院当日按“临床疗效评估标准”评定患者生活能力状态,分功能恢复好(0～Ⅱ级)和功能恢复差(Ⅱ～Ⅶ级)。患者在入院神经功能缺损评分、梗死体积、血糖、血沉及合并感染情况上均有显著性差异,且前4者可作为独立指标预测脑缺血患者早期功能恢复情况。
In order to predict the early functional recovery of patients with cerebral ischemia, 164 patients with cerebral ischemic admitted admitted within 72 hours were analyzed by prospective study, including 90 males and 74 females with an average age of 68.28 ± 10.46 years, The average hospital stay was 22.00 ± 10.24 days. On the day of admission, the score of clinical neurological deficit score was scored and blood routine test, erythrocyte sedimentation rate, blood glucose, hematocrit, CT or MRI examination were performed. On the day of discharge, the patients’ living ability status was assessed according to the Clinical Evaluation Criteria, Good (0 ~ Ⅱ grade) and poor functional recovery (Ⅱ ~ Ⅶ level). There were significant differences in neurological deficit score, infarct volume, blood glucose, erythrocyte sedimentation rate and co-infection in admission patients, and the first four indexes could be used as independent indexes to predict early functional recovery in patients with cerebral ischemia.