在内血管治疗后,中风患者的预后的临床预测因素
Yugang Wang1, Xingyun Yuan2, Yonggang Kang3
1Department of Neurology, The First People's Hospital of Xian Yang City, Xian Yang, Sha'anxi, China. conconcon@163.com.
Scientific reports
|January 5, 2024
概括
吸烟,基线NIHSS得分和LKN-to-GP时间是接受内血管治疗 (EVT) 的急性缺血性中风患者不良结果的关键风险因素. 戒烟和减少LKN-to-GP时间可以改善患者在EVT后的预后.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 内血管治疗 (EVT) 是对大血管封闭性中风的关键治疗方法.
- 许多因素影响急性缺血性中风 (AIS) 患者在EVT后的患者结果.
研究的目的:
- 确定影响EVT治疗AIS患者预后的重要因素.
- 阐明与EVT后不良结果相关的风险因素.
主要方法:
- 从2017年6月至2021年8月期间接受EVT治疗的144名AIS患者的临床数据分析.
- 评估入院血压,葡萄糖,NIHSS得分,90天mRs得分,以及LKN-to-GP时间.
- 多变量分析以确定显著影响预后的因素.
主要成果:
- 吸烟,基线NIHSS得分和LKN-to-GP时间被认为与预后相关.
- 多变量分析显示了基线NIHSS (OR=3.02),LKN-to-GP时间 (OR=2.17) 和6-12h时间分层 (OR=4.22) 作为结果的显著预测因素.
- 糟糕的结果被定义为90天mRs得分为3-6.
结论:
- 吸烟,基线NIHSS得分升高和较长的LKN-to-GP时间是EVT后AIS患者表现不佳的风险因素.
- 专注于戒烟和减少LKN-to-GP时间的干预措施对于改善EVT后结果至关重要.
- 进一步的研究应该探索这些因素,以优化治疗策略.
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