广州医药2024，Vol.55Issue(3)：255-261,7.DOI:10.3969/j.issn.1000-8535.2024.03.006
颈内动脉闭塞患者预后相关因素研究
Prognostic factors for the patients with internal carotid artery occlusion
韦英秀 1蒙喜斯 1崔伟 1彭定天 1李奕铮 1黄俏丽1
作者信息
- 1. 广西医科大学附属武鸣医院神经内科(广西南宁 530199)
- 折叠
摘要
Abstract
Objective To evaluate the prognostic significance of a group of clinical indices in the patients with internal carotid artery occlusion(ICAO).Methods From 2017 to 2022,a total of 131 patients with ICAO were enrolled.All eligible patients were divided into acute ICAO(AICAO)and chronic ICAO groups(CICAO),which were subdivided into good and poor prognosis groups.A respective analysis was performed to identify a practical profile for the outcome prediction of the patients with ICAO.Results The overall prognosis of CIACO was good.The proportion of NIHSS score＜6 in AICAO group with good prognosis and good collateral circulation compensation was significantly higher than that in poor prognosis group,while bleeding conversion was lower than that in poor prognosis group,with statistical significance(P＜0.05).Dichotomous logistic regression analysis showed that the prognostic effects of NIHSS score,collateral circulatory compensation score,interventional initiation,hemorrhagic transformation,and subtotal occlusion on the prognosis of AICAO were statistically significant.There were no significant differences in basic information,past medical history,interventional operation between the two groups(P＞0.05).Conclusions The patients with CICAO have a better prognosis than those with AICAO.NIHSS score＜6,good collateral circulation and no-hemorrhagic transformation may have strong prognostic relevance to ICAO.High NIHSS score,poor collateral circulation and hemorrhagic transformation at the time of onset are risk factors for poor prognosis of ACAO.关键词
颈内动脉闭塞/侧支循环代偿评分/NIHSS评分/闭塞颈内动脉再通/出血转化Key words
internal carotid artery occlusion/compensation score/NIHSS score/interventional operation/hemorrhagic transformation引用本文复制引用
韦英秀,蒙喜斯,崔伟,彭定天,李奕铮,黄俏丽..颈内动脉闭塞患者预后相关因素研究[J].广州医药,2024,55(3):255-261,7.
