在急性缺血性中风患者中,深耳叶的预后值会增加
Jiaping Xu1, Lixuan Wang1,2, Chunqing Zhang1
1Department of Neurology and Suzhou Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Frontiers in cardiovascular medicine
|June 16, 2023
概括
耳皮 (ELC) 在急性缺血性中风 (AIS) 患者中很常见. 深度ELC与中风后功能表现不佳的风险更高.
科学领域:
- 神经学 神经学
- 心血管研究研究心血管研究
- 医学诊断 医学诊断 医学诊断
背景情况:
- 在急性缺血性中风 (AIS) 患者中耳纹 (ELC) 患病率和意义的数据有限.
- ELC是一种潜在的,易于观察的临床征兆.
- 在AIS中调查ELC可能会提供新的预后见解.
研究的目的:
- 为了确定AIS患者ELC的频率和特征.
- 评估ELC在AIS中的功能结果的预后价值.
- 探索ELC特征 (单边/双边,浅/深) 与中风预后之间的关联.
主要方法:
- 分析了936名急性缺血性中风患者的队列.
- 患者根据ELC的存在,横向性 (单边/双边) 和深度 (浅/深) 进行分类.
- 用对共变量进行调整的后勤回归模型来评估ELC对90天功能结果的影响 (修改的兰金表得分≥2).
主要成果:
- 在79.7%的AIS患者中观察到耳部纹.
- 双边ELC比单边ELC (20.9%) 更常见 (79.1%).
- 深度ELC显著增加了90天后功能不良结果的风险 (OR1.87与没有ELC相比;OR1.63与浅层ELC相比).
结论:
- 耳皮是急性缺血性中风患者中非常普遍的发现.
- 深度ELC是AIS后功能预后更差的独立预测因素.
- ELC,特别是它的深度,可以作为简单的临床标志物来评估中风的结果.
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