实用医学杂志2016，Vol.32Issue(7)：1040-1043,4.DOI:10.3969/j.issn.1006-5725.2016.07.002
侧支循环的建立对急性脑梗死患者神经功能及预后的影响
Impact of collateral circulation on neurological function and prognosis outcome of patients with acute cerebral infarction
摘要
Abstract
Objective To investigate the impact of collateral circulation on neurological function and prognosis outcome of patients with acute cerebral infarction. Methods Assessed the collateral circulation of 274 patients with acute cerebral infarction from June 2012 to April 2015 in the department of neurology in Worker′s Hospital of Wuzhou using DSA, analyzed patients′ neurological function and prognosis outcome concerning their collateral circulation. Results (1) Impairment of neurological function were different between collateral circulation group and non-collateral circulation group ( P < 0 . 05 ) , but there was no significant difference in neurological impairment between the primary collateral circulation and secondary collateral circulation (P > 0.05). (2)14 and 90 days after treatment, symptoms of neurological impairment in posterior communicating artery, before pial artery, after pial artery and combination artery were significantly improved as with their NIHSS scores (P<0.05). However, symptoms of neurological impairment in anterior communicating artery, arteria ophthalmica and non-collateral circulation did not significantly improved at 14 and 90 days after treatment, with no significantly different NIHSS score (P > 0.05). Conclusions (1) Neurological function of patients with collateral circulation was better without collateral circulation. Grading of collateral circulation had did not relate to neurological function. (2) Prognosis of patients with collateral circulation was improved significantly than the patients without collateral circulation. The types of collateral circulation affect the prognosis of the patients with acute cerebral infarction.关键词
急性脑梗死/侧支循环/神经功能/预后Key words
Acute cerebral infarction/Collateral circulation/Neurological function/Prognosis引用本文复制引用
张岐平,陈英道,李育英,李海宁,梁炳松,李健..侧支循环的建立对急性脑梗死患者神经功能及预后的影响[J].实用医学杂志,2016,32(7):1040-1043,4.基金项目
梧州市科学研究与技术开发计划项目 （）
