摘要
目的研究桥脑梗死患者责任病灶及病变血管的解剖模式与预后的相关性。方法收集首都医科大学附属北京天坛医院神经内科2003年全年收治入院的111例桥脑梗死患者的病历。全部患者入院时进行NIHSS(美国国立卫生院神经功能缺损评分)、MRS(改良的Rankin残障量表)评估,病后30d、3个月进行MRS评估,分析3个月预后情况,系统评价责任病灶及病变血管的解剖模式,并与3个月预后不良进行相关性分析。结果桥脑与近、远段同时受累(OR=6.02,P<0.05),颅内病变区域个数>1个(OR=6.60,P<0.01),基底动脉急性闭塞(OR=6.10,P<0.001)的患者预后不良。结论不同责任病变部位及病变血管的桥脑梗死患者的预后不同。
Objective To investigate the correlation between topographic patterns of different location and vascular lesions and prognosis in patients with pons infarction. Methods 111 patients with pons infarction who were admitted in 2003 were enrolled in this study. All the patients were evaluated using NIHSS, MRS on admission, and were evaluated MRS again on day 30 and day 90 after the onset of the illness. The location and responsible vessel of lesions were evaluated systematically and the multivariate logistic regression analysis of the prognosis at the time of 6 months and the correlative factors were analysed. Results Patients with pons, proximal, and distal territory involvement（ OR =6.02, P 〈0.05 ）, multiple intracranial territory involvement（ OR = 6.60, P 〈 0.01 ）, in basilar artery acute occlusion（ OR = 6. 10, P 〈 0. 001 ） , were more likely to have the poorest outcome. Conclusion Its found that pons infarction consists of a variety of different stroke topographic patterns and vascular lesions, with various prognosis.
出处
《首都医科大学学报》
CAS
2007年第1期117-120,共4页
Journal of Capital Medical University
关键词
椎基底动脉系统
脑梗死
预后
vertebrobasilar system
cerebral infarction
prognosis
