[1]杭 宇,贾振宇,曹月洲,等.急性大血管闭塞性脑卒中静脉溶栓后转诊行血管内治疗预后影响因素分析[J].介入放射学杂志,2022,31(04):383-387.
　HANG Yu,JIA Zhenyu,CAO Yuezhou,et al.Analysis of factors influencing prognosis in patients with acute ischemic stroke due to large vessel occlusion referred to endovascular treatment after receiving thrombolysis[J].journal interventional radiology,2022,31(04):383-387.
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急性大血管闭塞性脑卒中静脉溶栓后转诊行血管内治疗预后影响因素分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年04
页码:
383-387
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Analysis of factors influencing prognosis in patients with acute ischemic stroke due to large vessel occlusion referred to endovascular treatment after receiving thrombolysis
作者:
杭 宇;  贾振宇;  曹月洲;  赵林波;  周 春;  祁 涛;  施海彬;  刘 圣
Author(s):
HANG Yu;  JIA Zhenyu;  CAO Yuezhou;  ZHAO Linbo;  ZHOU Chun;  QI Tao;  SHI Haibin;  LIU Sheng.
Department of Interventional Radiology， First Affiliated Hospital of Nanjing Medical University， Nanjing， Jiangsu Province 210029， China
关键词:
【关键词】 急性缺血性脑卒中;  静脉溶栓;  转诊;  血管内治疗;  临床预后;  影响因素
文献标志码:
A
摘要:
【摘要】 目的 探讨急性大血管闭塞性脑卒中（AIS-LVO）患者静脉溶栓后转诊行血管内治疗的安全性和有效性，分析影响预后的因素。 方法 回顾性分析2018年1月至2020年12月在卒中防治中心静脉溶栓后转至南京医科大学第一附属医院行机械取栓术的AIS-LVO患者临床资料。根据机械取栓治疗后90 d改良Rankin量表（mRS）评分，将患者分为预后良好组（mRS评分≤2）和预后不良组（mRS评分＞2）。单因素和多因素logistic回归分析患者预后相关危险因素。 结果 共41例AIS-LVO患者纳入研究，其中预后良好组16例（39.0%）。将单因素分析中变量（P＜0.05）纳入多因素logistic回归分析，结果显示术前美国国立卫生研究院卒中量表（NIHSS）评分高、Alberta卒中项目早期CT评分（ASPECTS）低、卒中症状发作至卒中防治中心就诊时间（ODT）长以及卒中防治中心就诊至股动脉穿刺时间（DPT）长，均为AIS-LVO患者预后不良的独立危险因素（P＜0.05）。结论 AIS-LVO患者静脉溶栓后转诊行血管内治疗安全有效。术前NIHSS评分、ASPECTS、ODT、DPT是患者临床预后的预测因素。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2021- 05- 08）
（本文编辑：边 佶）
更新日期/Last Update: 2022-05-11