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目的评估206例后循环缺血性事件患者30d预后,探讨不同病变部位及受累血管与30d预后不良的相关性。方法收集206例后循环急性脑梗死和短暂性脑缺血发作患者的临床资料。全部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(MRS)评估,病后30d进行MRS评估,分析患者30d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性分析。结果本组206例,病后30d病死率为4.9%,致残率为18%,颅脑近中远段同时受累(r=9.270,P<0.001)、基底动脉急性闭塞(r=5.106,P<0.001)及颅内病变个数>1个(r=2.491,P<0.001)的患者预后不良。结论不同病变部位、血管引起的后循环缺血性事件预后不同,大部分预后良好。
Objective To evaluate the prognosis of 206 patients with posterior circulation ischemic event and to explore the correlation between different lesion sites and affected vessels and the poor prognosis of 30d. Methods The clinical data of 206 patients with posterior circulation acute cerebral infarction and transient ischemic attack were collected. All patients were evaluated NIHSS and modified Rankin Disability Scale (MRS) at hospital admission, MRS assessment was performed 30 days after operation, and the prognosis of patients was analyzed 30 days later. The lesion sites and affected vessels were systematically evaluated, And with the poor prognosis correlation analysis. Results There were 206 cases in this group, the mortality rate was 4.9% and the morbidity rate was 18% after 30 days. The patients in the proximal and distal brain regions were involved (r = 9.270, P <0.001). The basilar artery occluded acutely (r = 5.106, 0.001) and intracranial lesions> 1 (r = 2.491, P <0.001). Conclusions The prognosis of posterior circulation ischemic events caused by blood vessels is different at different sites of lesion, and most of them have a good prognosis.