摘要
目的观察206例发生急性后循环缺血性事件患者病后1年的预后情况,分析预后不良的危险因素。方法收集2003年全年我院神经内科住院的206例急性后循环脑梗死和短暂性脑缺血发作(TIA)的病例,随访患者病后1年情况,筛选引起预后不良的危险因素。结果病后1年患者病死率12.1%,严重残障率5.3%,大部分患者预后良好。多元Logistic回归分析显示预后不良的危险因素包括颅脑近中远段同时受累(OR=5.445,P<0.05)、颅内病变个数>1个(OR=3.682,P<0.05)、基底动脉急性闭塞(OR= 10.409,P<0.01)、颅外段椎动脉病变(OR=6.767,P<0.01)。病初NIHSS≥15分者提示预后不良。结论后循环缺血性事件患者大部分预后良好,危险因素的评估有助于判断预后。
Objective To study the outcome and risk factors of 206 patients with acute posterior circulation ischemic event at 1 year after oneset, Methods 206 patients with posterior circulation acute ischemic infarction and TIA,who were admitted in 2003 and followed up for 1 year,were selected for analysis of the risk factors that were relative to poor outcome. Results The mortality rate was 12.1% and major disability was 5.3% at 1 year after onset. Most patients were of a good outcome. Based on multiple logistic regression analysis, it was found that the most important risk factors were proximal, middle and distal territory involvement （ OR = 5. 445, P 〈 0.05 ） , multiple posterior circulation intracranial territory involvement （ OR = 3. 682, P 〈 0.05 ）, basilar artery acute occlusion （ OR = 10.409, P 〈 0.01 ） and extracranial veterbral artery lesion （ OR = 6.767, P 〈 0.01 ）. NIHSS ≥ 15 was a hint of poor outcome. Conclusion The patients with posterior circulation ischemic event mostly have a good prognosis. Evaluation of risk factors is helpful to the judgment of the prognosis.
出处
《中国综合临床》
北大核心
2007年第7期596-598,共3页
Clinical Medicine of China
关键词
脑血管意外
后循环
危险因素
预后
Cerebrovascular accident
Posterior circulation
Risk factor
Prognosis
