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远隔肢体缺血后适应对不同TOAST和OCSP分型脑梗死的影响

常莉莎 李丹 刘会英 张江 王大力 彭延波

中国实用神经疾病杂志2017,Vol.20Issue(19):40-42,3.
中国实用神经疾病杂志2017,Vol.20Issue(19):40-42,3.DOI:10.3969/j.issn.1673-5110.2017.19.009

远隔肢体缺血后适应对不同TOAST和OCSP分型脑梗死的影响

Effects of remote limb ischemic postconditioning on prognosis of cerebral infarction patients with different TOAST types and OCSP types

常莉莎 1李丹 2刘会英 3张江 1王大力 1彭延波1

作者信息

  • 1. 华北理工大学附属医院神经内科二病区,河北 唐山 063000
  • 2. 华北理工大学研究生院,河北 唐山 063000
  • 3. 华北理工大学附属医院门诊部,河北 唐山 063000
  • 折叠

摘要

Abstract

Objective To discuss the effects of remote limb ischemic postconditioning on prognosis of cerebral infarction pa-tients with different TOAST type and OCSP type.Methods 545 patients with acute cerebral infarction were selected.On the basis of routine treatment,the intervention of remote limb ischemic postconditioning.The NIHSS score was calculated during hospitali-zation and 7 days after treatment and calculated improvement rate.At the same time,all the patients were divided into TOAST and OCSP according to the standard and compared the NIHSS scores of different subtypes in each subtype.Results There was no sig-nificant difference in the NIHSS scores between the type of atherosclerosis,cardiac embolism,small artery occlusion,other causes of stroke,and unknown subtype in the TOAST typing(P >0.05).In the OCSP typing,the improvement rate of NIHSS score of the patients with complete anterior circulation infarction and partial anterior circulation infarction was better than that of lacunar infarction and posterior circulation infarction subtypes,there was statistical difference (P <0.05).Conclusion Remote limb ische-mic postconditioning has different effects on the short term prognosis of different subtypes of cerebral infarction in TOAST classi-fication and OCSP classification.It is suggested that RIPostC should be used in the appropriate and selective subtypes of cerebral infarction.

关键词

急性脑梗死/脑保护/远隔肢体缺血后适应/TOAST分型/OCSP分型

Key words

[key words] Acute cerebral infarction/Brain protection/Remote limb ischemic postconditioning/TOAST classification/OCSP classification

分类

医药卫生

引用本文复制引用

常莉莎,李丹,刘会英,张江,王大力,彭延波..远隔肢体缺血后适应对不同TOAST和OCSP分型脑梗死的影响[J].中国实用神经疾病杂志,2017,20(19):40-42,3.

中国实用神经疾病杂志

1673-5110

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