无脑动脉狭窄急性脑梗死患者的临床特点

目的 探讨无脑动脉狭窄急性脑梗死(ACI)患者的临床特点.方法 对352例ACI患者进行数字减影全脑血管造影(DSA),根据检查结果分为无动脉狭窄组和动脉狭窄组,比较两组患者临床神经功能缺损评分、卒中危险因素和预后;并比较无动脉狭窄组中前循环梗死亚组与后循环梗死亚组的病情和预后.结果 根据DSA结果,无动脉狭窄组70例,动脉狭窄组282例.无动脉狭窄组患者合并高血压、糖尿病以及既往腩卒中、冠心病史者的比率明显低于动脉狭窄组(P<0.05～0.01);入院时及发病3个月时美国国立卫生研究院卒中鼍表(NIHSS)评分均明显低于动脉狭窄组,改良Rankin量表(mRS)评分及3个月卒中复发或死亡率明显低于动脉狭窄组(P<0.05～0.01);无动脉狭窄组中后循环梗死亚组患者入院时及发病3个月时NIHSS、mRS评分及死亡率明显高于前循环梗死亚组(P<0.05～0.01).结论 无明显脑动脉狭窄ACI患者的病情较轻,预后较好;但其中后循环梗死患者预后较差.

Clinical characteristics of acute cerebral infarction patients without cerebral arterialstenosis

Objective To explore the clinical characteristics of acute cerebral infarction(ACI) patients without cerebral arterialstenosis.Methods The examination of digital subraction angiography(DSA) was applied in 352 ACI patients,and according to the results they were divided into no-arteriostenosis group and arteriostenosis group.Then,the scores of neurological dysfunction,stroke risk factors and prognosis between the two groups were compared.Moreover,the condition and prognosis between the patients with anterior ...