中国实用内科杂志2017，Vol.37Issue(11)：1004-1007,4.DOI:10.19538/j.nk2017110113
不同亚型脑梗死复发长期预测标志230例临床研究
Clinical reseach on MRI predictive markers for recurrent stroke in different subtyps of cerebral infarctions in 230 cases
摘要
Abstract
Objective To study the independent risk factors and MRI feature of different subtypes of cerebral infarction.Methods We included patients with acute cerebral infarction from the Department of Neurology of Peoples' Hospital of Peking University within three years from 2005 to 2007.We followed up the patients by telephone and electronic medical record to determine whether they belonged to recurrent group or not.Acording to Toast,we divided the cases into 5 subgroups.We recorded the clinical and image varialbles.We determined the independent risk factors for recurrent stroke in 5 years of each subtype by Cox regression.Results Leukoencephalopathy in MRI and being female were independent risk factors for recurrent stroke of large artery atherosclerosis infarcts in different circulations were independent risk factors for recurrent stroke of small artery occlusion lacunary-leukoencephalopathy and infarcts in different circulations in MRI were independent risk factors for recurrent stroke of other undetermined etiology.Conclusion Leukoencephalopathy and infarcts in different circulations in MRI are independent risk factors for recurrent stroke of different subtypes of cerebral infarctions.We emphasize the MRI features to be more important than conventional risk factors for the predition of recurrent stroke in each subtype of cerebral infarctions.关键词
脑梗死/复发/预测/亚型/危险因素Key words
cerebral infarctions/recurrent/predictive/subtypes/risk factors分类
医药卫生引用本文复制引用
刘扬,周小英,高旭光..不同亚型脑梗死复发长期预测标志230例临床研究[J].中国实用内科杂志,2017,37(11):1004-1007,4.基金项目
国家自然科学基金项目(41441040) （41441040）
