进展性缺血性脑卒中预后影响因素分析

目的探讨进展性缺血性脑卒中患者30天预后的影响因素,为临床诊治提供理论依据。方法预后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),对经过综合治疗的219例进展性缺血性脑卒中患者的有关指标与30天预后的关系进行单因素和多因素分析。结果营养支持、康复治疗、梗死面积、梗死后出血、年龄、并发症及Barthel指数是影响进展性缺血性脑卒中预后的相关因素。结论积极营养支持、早期康复介入、改善缺血区供血以及防止并发症可能是改善预后的重要环节。

Analysis of Influential Factors on Prognosis of Progressive Ischemic Stroke

Aim To discuss the influencing factors associated with 30 days prognosis of 219 progressive ischemic stroke(PIS) patients,so as to provide theoretical basis for clinical treatment.Methods According to the severity of nervous dysfunction,the prognosis was rated as effective(including full recovery,significant improvement and improvement) and non-effective(including no change, deterioration and death).Related indexes in 219 supratentorial PIS patients were observed.Single factor analysis and multiple factors analysis were done to analyze the relationship between these factors and 30 days prognosis.Results Nutritional support,rehabilitation care,volume of infarction,hemorrhage of postinfarction,age,complications and Barthel index would influence the prognosis of PIS.Conclusion Sufficient nutritional support,early-stage rehabilitation care,lowering of volume of infarction and hemorrhage of postinfarction,prevention of complications are important elements for improving prognosis.