摘要
目的探讨进展性缺血性脑卒中(PIS)患者30d预后的影响因素,为临床诊治提供理论依据。方法根据神经功能缺损评分分为好转(基本痊愈、显著进步和进步)和未好转(病情无变化、恶化和死亡),对经过综合治疗219例PIS患者的有关指标与30d预后的关系进行单因素和多因素分析,多因素分析用Logistic逐步回归,前向逐步法,α=0.05。结果营养支持、康复治疗、梗死面积、梗死后出血、年龄、并发症和Barthel指数是影响PIS预后的相关因素。结论积极营养支持、早期康复介入、改善缺血区供血、防止并发症可能是改善预后的重要环节。
Objective To discuss the influence factors associated with 30-day prognosis of progressive ischemic stroke（PIS） patients, and to provide theoretical basis for clinical treatment. Methods According to the severity of nervous dysfunction, the prognosis was rated as effect （including full recovery, significant improvement and improvement） and non-effect （including no change, deterioration and death）. Related indexes in 219 supratento-ial PIS patients,are observed. Single factor analysis and multiple factors analysis were done to analyze the relationships among comlicatiuors and 30-day prognosis. Multiple factors analysis used Logistic regression analysis, a=0.05. Results Nutritional supports deterioration care, volume of infarction, hemorrhage of postinfarction, age, complications and Barthel index would .fluence the prognosis of PIS. Conclusion Sufficient nutritional support, early --stage rehabilitation care, lowering of volume of infarctio and nemorrhage of postinfarction, prevention of complications are important elements for improving prognosis.
出处
《中国实用神经疾病杂志》
2008年第1期16-18,共3页
Chinese Journal of Practical Nervous Diseases
关键词
进展性缺血性脑卒中
脑梗死
预后
Progressive ischemic stroke
Cerebral infarction
Prognosis
