Study of quantitative electroencephalogram on prognosis of patients with anterior circulation cerebral infarction after vascular reconstruction
Objective To evaluate the prognostic value of quantitative electroencephalogram in patients with anterior circu-lation cerebral infarction after vascular reconstruction.Methods A total of 89 patients with anterior circulation cerebral in-farction admitted to Ganzhou People's Hospital from January to December 2022 were selected as study objects.All patients were treated with revascularization and followed up for 3 months.The patients'prognosis was evaluated according to the modified Rankin scale(mRS),and they were divided into good prognosis group and poor prognosis group.All patients un-derwent quantitative electroencephalogram tests,including(θ+δ)/(α+β)ratio(DTABR)and brain symmetry index(BSI).The difference of basic data between good prognosis group and poor prognosis group was compared.Logistic regression was used to analyze the risk factors affecting the prognosis of anterior circulation cerebral infarction after revascularization.ROC curve analysis was performed to quantify the clinical value of quantitative electroencephalogram in predicting prognosis after anterior circulation cerebral infarction vascular reconstruction.Results A total of 89 patients were followed up for 3 months,including 61 patients with good prognosis and 28 patients with poor prognosis.The DTABR and BSI of the good prognosis group were(0.84±0.11)and(0.09±0.02),lower than those of the poor prognosis group(1.35±0.16)and(0.28±0.05),and the differences were statistically significant(P＜0.05).Logistic regression analysis showed that DTABR and BSI were high-risk factors affecting the prognosis of anterior circulation cerebral infarction after vascular reconstruction surgery(OR＞1,P＜0.05).The ROC curve showed that the area under the curve(AUC)of DTABR,BSI and combined detection in predicting the prognosis of patients with precirculation cerebral infarction after vascular reconstruction were 0.850,0.833 and 0.965,respectively,and the combined detection value was higher.Conclusion Quantitative electroencephalogram has a high value in predicting the prognosis of precirculation cerebral infarction after operation,and it is simple and objective.It can be used as an early detection item to improve the early treatment of cerebral infarction.
Anterior circulation cerebral infarctionRevascularizationQuantitative electroencephalogramProg-nosisPredictive value
万方数据
维普
