[1]邱 凯,施海彬,祖庆泉,等.急性缺血性脑卒中机械取栓后大面积脑梗死发生及其影响因素分析[J].介入放射学杂志,2020,29(12):1182-1186.
 QIU Kai,SHI Haibin,ZU Qingquan,et al.The occurrence of large hemispheric infarction after endovascular thrombectomy for acute ischemic stroke and its influencing factors: a clinical analysis[J].journal interventional radiology,2020,29(12):1182-1186.
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急性缺血性脑卒中机械取栓后大面积脑梗死发生及其影响因素分析()

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

卷:
29
期数:
2020年12
页码:
1182-1186
栏目:
神经介入
出版日期:
2020-12-25

文章信息/Info

Title:
The occurrence of large hemispheric infarction after endovascular thrombectomy for acute ischemic stroke and its influencing factors: a clinical analysis
作者:
邱 凯 施海彬 祖庆泉 刘 圣 赵林波 贾振宇 曹月洲 周春高
Author(s):
QIU Kai SHI Haibin ZU Qingquan LIU Sheng ZHAO Linbo JIA Zhenyu CAO Yuezhou ZHOU Chungao.
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 大面积脑梗死 机械取栓 影响因素 临床预后
文献标志码:
A
摘要:
【摘要】 目的 探讨前循环急性缺血性脑卒中(AIS)患者机械取栓后大面积脑梗死(LHI)发生及其影响因素。方法 回顾性分析2015年1月至2018年12月于南京医科大学第一附属医院接受机械取栓治疗的前循环AIS患者临床资料。主要观察指标是术后5~7 d LHI,即头颅影像学检查所示梗死面积大于大脑中动脉供血区1/3。采用单因素和多因素logistic回归分析明确LHI发生相关因素,并分析LHI与90 d改良Rankin量表(mRS)评分相关性。结果 共计纳入227例患者。其中107例(47.1%)术后发生LHI。单因素和多因素logistic回归分析显示,基线高美国国立卫生研究院卒中量表(NIHSS)评分、低Alberta卒中项目早期CT评分(ASPECTS)、侧支代偿差及再灌注欠佳是LHI发生的独立危险因素(P<0.05)。与非LHI组相比,LHI组患者90 d良好预后率更低(17.8%对72.5%,χ2=68.102,P<0.001)。 结论 基线高NIHSS评分、低ASPECTS、侧支代偿差及再灌注欠佳是LHI发生的独立危险因素。LHI发生与临床预后不佳相关。

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备注/Memo

备注/Memo:
(收稿日期:2019- 11- 18)
(本文编辑:边 佶)
更新日期/Last Update: 2020-12-16