摘要
目的探讨短暂性脑缺血发作到后继脑梗死发生的间隔时间与后继脑梗死的关系。方法选择首次入院脑梗死患者658例，其中有同侧TIA的患者122例，根据TIA与脑梗死间隔时间分为1周、2—4周和4周以上。比较各组入院时神经功能缺损程度评分，以及病程1个月时日常生活能力评分。结果有TIA史且间隔时间小于1周组患者神经功能轻度缺损比率（96％）、Ⅰ级预后比率为（80％）均明显高于无TIA史组及有TIA史且间隔时间2～4周和4周以上者（P〈0．01，〈0．05）。结论TIA的神经保护性与TIA发作间隔时间有一定关系，对后继脑梗死有保护作用的TIA与脑梗死的间隔期应该不超过1周。
Objective To study the relationship between the interval of transient ischemic attack （TIAs） and a subsequent cerebral infarction （CI）. Methods 658 CI patients who were the first hospitalization were selected, including 122 patients who had the prior ipsilateral TIAs before CI. The patients with TIAs were further divided into three groups based on the interval of TIAs. The score of neurologic impairment in these groups was fulfilled and compared according to the score standards of CSS and ADL. Results There are the higher rate of the light neurologic impairment and the grade Ⅰ prognosis of cortex in the groups with prior TIAs lasting the intervals of less thanl week than the other groups which are without TIAs, with prior TIAs lasting the intervals of a range from 2 to 4 weeks and more than 4 weeks（ P 〈 0.01, 〈 0.05）. Conclusions The neuropmtection of TIAs has relationship with the interval of TIAs and a subsequent cerebral infarction. And the interval of TIAs beneficial to a subsequent cerebral infarction is to be less than 1 week.
出处
《山东医药》
CAS
北大核心
2008年第1期24-25,共2页
Shandong Medical Journal
