| 急性脑梗死后神经功能缺损影响因素的多元逐步回归分析 |
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| 引用本文： | 路屹,汪凯,陈齐鸣,刘晓林,许力,吴国林,谢静,刘扬.急性脑梗死后神经功能缺损影响因素的多元逐步回归分析[J].临床神经病学杂志,2009,22(1). |
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| 作者姓名： | 路屹 汪凯 陈齐鸣 刘晓林 许力 吴国林 谢静 刘扬 |
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| 作者单位： | 1. 蚌埠医学院第一附属医院神经内科,安徽,233004
2. 安徽医科大学第一附属医院神经内科 |
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| 摘 要： | 目的分析不同因素对急性缺血性脑梗死(ACI)后患者神经功能缺损的影响。方法前瞻性调查135例符合入组条件的ACI患者,于入院当日行年龄、性别、血压的登记及记录,行头颅CT和/或MRI检查,并用Efilm workstation V2.1及3D-DOCTOR V3.5影像浏览软件进行梗死体积的测量,记录梗死部位;于入院次日晨抽取空腹静脉血进行高敏C-反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)、空腹血糖(FBS)、胆固醇(TC)、三酰甘油(TG)及纤维蛋白原(FG)生化指标的检测。分别于入院时及治疗1个月后行临床神经功能缺损程度评分(NDS)和日常生活能力Barthel指数(BI)评定。并对获得的数据进行多元逐步回归分析。结果FG、TC、舒张压(DBP)、脉压(PP)符合正态分布(P>0.05)。余各项指标均不符合正态分布。各数据之间有简单的相关。对入院时NDS评分1的主要影响因素依次是梗死体积、梗死部位(脑叶)、hs-CRP及FBS。对治疗1个月后的NDS评分3的主要影响因素依次是入院时NDS评分1、梗死体积、FG、hs-CRP及TC。结论梗死体积以及hs-CRP无论对于入院时NDS评分1还是治疗结果的N...
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| 关 键 词： | 急性脑梗死 影像学 生化指标 神经功能缺损 |
Multivariant gradual regressive analysis of influencing factors on neurologic deficit after acute cerebral infarction |
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| LU Yi,WANG Kai,CHEN Qi-ming,et al..Multivariant gradual regressive analysis of influencing factors on neurologic deficit after acute cerebral infarction[J].Journal of Clinical Neurology,2009,22(1). |
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| Authors: | LU Yi WANG Kai CHEN Qi-ming |
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| Institution: | LU Yi,WANG Kai,CHEN Qi-ming,et al.Department of Neurology,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China |
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| Abstract: | Objective To analyze the effect of different factors on neurologic deficit of patients with acute cerebral infarction (ACI). Methods Prospective studies of the influencing factors on neurological impairment have been conducted on 135 patients with ACI who satisfied the conditions for admission to our Department of Neurology. The patient's age, gender and blood pressure were recorded at day of admission,and head CT and/or MRI performed, the volume of infarction measured as well as position using Efilm workst... |
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| Keywords: | acute cerebral infarction imaging biochemical indicators neurologic deficit |
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