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目的探讨急性脑梗死患者MRA-TICI分级与神经功能缺损的关系,以及危险因素对TICI分级的影响。方法对脑梗死患者采用MRA进行TICI分级,分析患者危险因素,同时评价患者NIHSS评分及Barthel指数。结果LDL-C水平与TICI分级相关,LDL-C数值越小,TICI分级越高(P=0.011),常见危险因素(年龄,既往吸烟史、饮酒史,既往患高血压病、糖尿病,TG、CHOL、FPG)与MRA-TICI分级之间无相关性,患者的神经功能缺损程度、Barthel指数与MRA-TICI分级之间具有相关性,MRA-TICI分级越高,NIHSS评分越低,Barthel指数越高,其预后越好。结论 MRA-TICI分级可用来对急性脑梗死患者进行风险预测,判断其预后。
Objective To investigate the relationship between MRA-TICI classification and neurological deficits in patients with acute cerebral infarction and the impact of risk factors on TICI classification. Methods TICI was performed using MRA in patients with cerebral infarction. The risk factors were analyzed. NIHSS score and Barthel index were also evaluated. Results The level of LDL-C was correlated with TICI grade. The lower the LDL-C value, the higher the TICI grade (P = 0.011). The common risk factors (age, previous smoking history, alcohol drinking history, previous history of hypertension, diabetes, There was no correlation between CHOL, FPG and MRA-TICI grade, the degree of neurological deficit, Barthel index and MRA-TICI grade, the higher the MRA-TICI grade, the lower the NIHSS score, the Barthel index High, the better the prognosis. Conclusion MRA-TICI classification can be used to predict the risk of acute cerebral infarction patients, and determine the prognosis.