首页|急性缺血性脑卒中患者血管内治疗前血压与预后的相关性研究

急性缺血性脑卒中患者血管内治疗前血压与预后的相关性研究

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目的 探讨急性缺血性脑卒中患者血管内治疗前血压与预后的关系.方法 回顾性分析2016 年 1月至2019年 1月在贵州医科大学附属白云医院、贵州医科大学附属医院住院的 189 例急性缺血性脑卒中患者资料,根据纳排标准最终纳入 162 例患者,于血管内治疗后 3 个月时评估预后并根据改良Rankin量表(mRS)评分将其分为预后良好组和预后不良组.收集患者的一般资料,使用Logistic回归模型分析其预后影响因素.结果 162 例患者中,预后良好组 73 例,预后不良组 89 例.多因素Logistic回归分析显示,较差的侧支循环、高脉压、入院时高NIHSS评分是血管内治疗患者 3 个月时预后不良的独立危险因素(P<0.05).结论 急性缺血性脑卒中血管内治疗患者预后与侧支循环、脉压、入院时NIHSS评分有关.
Study on the correlation between blood pressure before endovascular treatment and prognosis in patients with acute ischemic stroke
Objective To investigate the relationship between blood pressure before endovascular treatment and prognosis in patients with acute ischemic stroke.Methods The data of 189 patients with acute ischemic stroke who were hospitalized in the Affiliated Baiyun Hospital of Guizhou Medical University and the Affiliated Hospital of Guizhou Medical University from January 2016 to January 2019 were retrospectively analyzed.A total of 162 patients were finally inclubed according to the inclusion and exclusion critera.The patients were evaluated for prognosis at 3 months after endovascular treatment and divided into good prognosis group and poor prognosis group according to Modified Rankin Scale(mRS)score.The general data of the patients were collected,and the prognostic factors were analyzed by Logistic regression model.Results Among 162 patients,73 cases in the good prognosis group and 89 cases in the poor prognosis group.Multivariate Logistic regression analysis showed that poor collateral circulation,high pulse pressure and high NIHSS score at admission were independent risk factors for poor prognosis at 3 months after endovascular treatment(P<0.05).Conclusion The prognosis of patients with acute ischemic stroke treated by endovascular treatment is related to collateral circulation,pulse pressure and NIHSS score at admission.

blood pressureacute ischemic strokeprognosis

傅阳俊、毛诗贤、朱瑞

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合肥市第三人民医院神经内科,安徽 合肥,230041

贵州医科大学附属白云医院神经内科,贵州 贵阳, 550058

血压 急性缺血性脑卒中 预后

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(1)
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