[1]左 鹏,倪小宇,徐长松,等.左心室射血分数对急性心源性前循环大血管闭塞性脑卒中血管内治疗预后的影响[J].介入放射学杂志,2022,31(12):1189-1193.
 ZUO Peng,NI Xiaoyu,XU Changsong,et al.The effect of left ventricular ejection fraction on the prognosis of patients with acute cardiogenic anterior circulation large vessel occlusive stroke after receiving endovascular treatment[J].journal interventional radiology,2022,31(12):1189-1193.
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左心室射血分数对急性心源性前循环大血管闭塞性脑卒中血管内治疗预后的影响()

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

卷:
31
期数:
2022年12
页码:
1189-1193
栏目:
临床研究
出版日期:
2023-01-11

文章信息/Info

Title:
The effect of left ventricular ejection fraction on the prognosis of patients with acute cardiogenic anterior circulation large vessel occlusive stroke after receiving endovascular treatment
作者:
左 鹏 倪小宇 徐长松 吴 嶛 倪贵华
Author(s):
ZUO Peng NI Xiaoyu XU Changsong WU Liao NI Guihua.
Department of Neurology, Affiliated Huai’an Municipal First People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu Province 223300, China
关键词:
【关键词】 左心室射血分数 心源性脑卒中 血管内治疗 预后因素
文献标志码:
A
摘要:
【摘要】 目的 探讨左心室射血分数(LVEF)对急性心源性前循环大血管闭塞性脑卒中患者血管内治疗预后的影响。方法 回顾性分析自2019年1月至2021年1月南京医科大学附属淮安第一医院采用血管内介入术治疗的78例急性心源性前循环大血管闭塞性脑卒中患者超声心动图数据。定义LVEF≥50%为正常值,<50%为下降值。术后3个月采用改良Rankin量表(mRS)评分评估患者预后,0~2分为预后良好,3~6分为预后不良。采用多因素logistic回归分析判断预后影响因素。结果 术后预后良好44例(56.4%),预后不良34例(43.6%)。预后良好组与预后不良组相比,LVEF下降(9.1%比26.5%,P=0.041)、左心室舒张功能减低(29.5%比52.9%,P=0.036)差异均有统计学意义。多因素logistic 回归分析结果显示,LVEF下降(OR=0.195,P=0.032)、入院时美国国立卫生研究院卒中量表(NIHSS)评分(OR=0.889,P=0.030)、伴糖尿病(OR=0.217,P=0.014)和颈内动脉末端闭塞(OR=0.278,P=0.028)是急性心源性前循环大血管闭塞性脑卒中患者血管内治疗术后良好预后的独立危险因素。结论 急性心源性前循环大血管闭塞性脑卒中患者血管内治疗后LVEF(<50%)下降,临床预后较差。

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备注/Memo

备注/Memo:
(收稿日期:2022-01-24)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11