摘要
目的分析小卒中患者静脉溶栓后影响预后的因素。方法将患者进行CISS分型,并收集可能影响预后的影响因素。随访卒中后6个月的死亡、残疾情况,分析影响预后的因素。结果共387例小卒中患者接受静脉溶栓治疗,其中穿支动脉病变最常见(66.15%),其次为大动脉粥样性(21.96%),心源性脑栓塞型最少(8.79%)。多元统计分析显示,穿支动脉病变小卒中患者6个月预后最佳,大动脉粥样硬化小卒中患者6个月预后较差。结论小卒中静脉溶栓安全有效;穿支动脉病变小卒中预后最佳,大动脉粥样硬化小卒中预后较差。
Objective To analyze the prognostic factors in patients with minor stroke after intravenous thrombolysis,so as to understand which factors affect the prognosis in patients with minor stroke after intravenous thrombolysis,and to provide help for future clinical decisions.Methods All patients who received intravenous thrombolysis were collected for CISS typing and possible prognostic factors.Patients were followed up 6 months after stroke,and the factors affecting the prognosis were statistically analyzed.Results A total of 387 patients received intravenous thrombolysis.Among them,perforator artery lesions were the most common(66.15%),followed by large artery atherosclerosis(21.96%),and cardiogenic cerebral embolism was the least(8.79%).Multivariate statistical analysis showed that patients with perforator artery disease had the best prognosis in 6 months,while those with aortic atherosclerosis had a poor prognosis in 6 months.Conclusion Intravenous thrombolysis is safe and effective.The prognosis is the best in patients with perforator artery disease and the worst in patients with aortic atherosclerosis.
作者
赵松耀
窦海玲
李世泽
ZHAO Songyao;DOU Hailing;LI Shize(Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China)
出处
《中国实用神经疾病杂志》
2019年第6期656-659,共4页
Chinese Journal of Practical Nervous Diseases
关键词
小卒中
CISS分型
静脉溶栓
预后
影响因素
Minor stroke
CISS
Intravenous thrombolysis
Prognosis
Influence factors
