急性脑梗死患者脑白质病变因素风险评估Risk assessment of white matter lesions on patients with acute cerebral infarction
罗淞元;李小霞;王喜梅;
摘要(Abstract):
目的探讨脑白质病变对急性脑梗死患者预后的影响。方法选择驻马店市中心医院收治的282例急性脑梗死患者,根据MRI检查结果分为脑白质病变组(115例)和无脑白质病变组(167例),对2组临床资料(性别、年龄、糖尿病、高血压、房颤、高血脂)情况进行统计,同时对全部患者随访90d,评价患者的预后情况。结果脑白质病变组和无脑白质病变组男女比例及平均年龄差异无统计学意义(P>0.05)。而脑白质病变组糖尿病、高血压、房颤、高血脂的发生率及预后不良率、病死率显著高于无脑白质病变组(P<0.01)。结论急性脑梗死患者若在影像学检查中发现脑白质病变,需对相关危险因素进行积极干预,可有效改善预后,降低病死率。
关键词(KeyWords): 急性脑梗死;脑白质病变;改良Rankin量表;预后
基金项目(Foundation):
作者(Authors): 罗淞元;李小霞;王喜梅;
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