摘要
目的探讨左右侧大面积大脑中动脉（MCA）急性梗死继发心电图改变的预后。为临床早期评估及干预提供参考数据。方法选择兰州大学第二医院自2014年12月至2016年3月收治的54例急性MCA大面积脑梗死患者，按梗死部位分为左侧脑梗死组（n=20）和右侧脑梗死组（n=34），分别对两组患者人院时、1月、3月及6月时的美国国立卫生研究院卒中量表（NIHSS）评分、Barthel指数（BI）及改良Rankin（mRS）评分进行比较。结果左侧脑梗死组和右侧脑梗死组在1月内病死率比较，差异无统计学意义（x^2=1．975，P〉0．05）。两组患者发病6月时BI评分比较，差异有统计学意义（t=-3．161，P〈0．05）。两组患者在1月、3月及6月时的NIHSS评分比较，无论是否继发心电图改变，差异均有统计学意义（P〈0．05）。结论不同侧大面积MCA梗死继发心电图改变的预后可能不同。
Objective To investigate the prognosis of electrocardiogram （ECG） changes secondary to acute right and left large-scale middle cerebral artery （MCA） infarction, and to provide reference data for early clinical evaluation and intervention. Methods A total of 54 patients with acute large-scale MCA infarction who were admitted to our hospital from December 2014 to March 2016 were en- rolled and divided into left MCA infarction group （n = 20） and right MCA infarction group （n = 34）. National Institutes of Health Stroke Scale （NIHSS） score, Barthel index （ BI）, and modified Rankin score on admission and at 1,3, and 6 months after onset were compared between the two groups. Results There was no significant difference in mortality within the first month between the two groups （2 = 1. 975, P 〉 0. 05 ）. The left MCA infarction group had a significantly lower BI score at 6 months after onset than the right MCA infarction group （ t = - 3. 161, P 〈 0.05）. No matter whether there were secondary ECG changes, the left MCA infarction group had significantly higher NIHSS scores at 1, 3, and 6 months after onset than the right MCA infarction group （ all P 〈 0. 05 ）. Conclusions The prognosis may be different between patients with ECG changes secondary to right and left large-scale MCA infarction.
出处
《国际神经病学神经外科学杂志》
北大核心
2016年第5期436-440,共5页
Journal of International Neurology and Neurosurgery
关键词
大脑中动脉
脑梗死
左侧
右侧
心电图改变
middle cerebral artery
cerebral infarction
left side
right side
electrocardiogram change
