摘要
目的探讨缺血性中风两种常用的分型方法,即病因分型与临床分型是否有关。方法调查急性缺血性中风患者226例,分别进行临床分型(OCSP分型)和病因分型(M-TOAST分型),探讨早期的临床分型和病因的相关性。结果早期的临床分型与病因分型有关(P<0.05),其中,完全前循环梗塞(TACI)中有44.12%的病人具有颅内大动脉异常,而腔隙性梗塞(LACI)中病因为小动脉闭塞的占48.72%,但未发现部分前循环梗塞(PACI)与病因有明确关系。结论缺血性中风急性期的临床分型能部分预示病因,可用于指导临床诊治。
Objective To verify the relationship between etiological and clinical classifications in acute stage of ischemic stroke. Methods We investigated 226 patients admitted who were diagnosed as acute ischemic Stroke or TIA. The OCSP （Oxfordshire Community Stroke Project） classification of acute stage and TOAST（Trial of Org 10172 in Acute Stroke Treatment） classification were analyzed. We investigated the relationship between OCSP and TOAST classifications. Results OCSP classification in acute stage was related with etiology（P〈0.05）,especially TACI （Total Anterior Circulation Infarct） and LACI （Lacunar Infarct）. There were 44.12% TACI patients with intracranial large artery disease and There were 48.72 LACI patients with small vessel disease. However,we didn＇t find the relationship between PACI （Part Anterior Circulation Infarct） and etiology. Conclusion The OCSP classification in acute stage was partly helpful to indicate etiology of ischemic stroke.
出处
《青岛医药卫生》
2006年第4期246-248,共3页
Qingdao Medical Journal
关键词
缺血性中风
OCSP分型
病因分型
Ischemic stroke OCSP classification Etiological classification
