摘要
目的分析大动脉硬化和心源性栓塞所致青年人脑梗死的预后。方法两组病人采用相似的药物治疗并辅以运动康复训练。分别于入院48小时和住院治疗30天后,对两组病人神经功能缺损程度和日常活动能力(ADL)巴氏指数(BI)进行评估。结果心源性栓塞组其脑梗死范围较大,入院时神经功能缺损程度及日常活动能力较差。治疗1个月后,心源性栓塞组神经功能损害的恢复和提高均差于大动脉硬化组。结论大动脉硬化和心源性栓塞是青年人脑梗死的主要原因,心源性栓塞组脑梗死预后差于大动脉硬化组。
Objective To analysis the clinical outcomes of young adult cerebral infraction caused by large arteriosclerosis and cardiogenic embolism. Methods All patients were treated with the same medicine and exercise training. 48 hours and 30 days after hospitalization, the neurologic impairment de- gree and activity of daily life （BI） were evaluated, Results The range of the cerebral infraction caused by cardiogenic embolism is larger than that caused by large arteriosclerosis and had more severe neurological impairment than that caused by large arteriosclerosis. Conclusions Cardiogenic embolism and large artery atherosclesrosis are main causes of young adult cerebrian infraction. The clinical outcomes caused by cardiogenic embolism are poorer than those caused by large arteriosclerosis.
出处
《神经疾病与精神卫生》
2005年第5期351-352,共2页
Journal of Neuroscience and Mental Health
关键词
动脉硬化
心源性栓塞
神经功能缺损
Large arteriosclerosis Cardiogenic embolism Neurological impairment
