摘要
目的应用“脑卒中急性期患者数据库”分析脑出血性梗死 (HI)及相关因素。方法从数据库中选取发病 3天以内的缺血性脑血管病患者 14 87例 ,分析HI的发生频率和程度。结果发生HI的患者占 11% ,其中 5 1%为心源性脑血管栓塞患者 ;心源性脑血管栓塞患者中HI的发生率为 2 8% ,其中轻度 67%、中度 2 3 %、形成血肿 10 % ;高龄、人工瓣膜、入院时病情程度评分是HI的独立相关因素。HI越重 ,康复效果越差 ;使用血栓溶解药物的患者虽有HI增多倾向 ,但多数患者出院时功能障碍较轻。结论“脑卒中急性期患者数据库”的建立有助于对脑卒中的诊断、分析和管理 ,对临床治疗有指导意义。
ObjectiveTo analyze cerebral hemorrhagic infarction (HI) and relative factors with the database of Standard Stroke Registry (SSR).Methods1 487 consecutive patients with acute ischemic stroke admitted within 3 days after onset were analyzed with SSR.ResultsHI was observed in 11% of patients, of whom 51% were diagnosed as having cardiogenic embolism. In patients with supratentorial infarction of cardiac origin, 28% had HI (mild 67%, moderate 23, hematoma 10%). On multiple logistic regression analysis, independent factors related with HI were found to be age, prosthetic cardiac valve and NIHSS scores at admission. Patients with more severe HI were associated with a poorer outcome at discharge. Clinical outcome tended to be better in patients receiving thrombolytic agents than in those without receiving agents, while the incidence of HI was slightly more frequent in the former.Conclusion It is confirmed that the SSR database is useful for understanding and analyzing the status of stroke diagnosis and management throughout the nation, and revisions are needed in some formats.
出处
《中国康复理论与实践》
CSCD
2003年第10期623-625,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
出血性梗死
急性脑卒中
心源性脑栓塞
溶栓治疗
危险因素
hemorrhagic infarction
acute stroke
cardiogenic brain embolism
thrombolytic therapy
risk factor
