在接受内血管治疗的急性中风患者中,肉类的对死亡率的影响
Muhammed Said Beşler1, Nurdan Çay2, Bige Sayın1
1Department of Radiology, Ankara Bilkent City Hospital, Ankara, Türkiye.
概括
麻症指标,包括胸部肌肉密度 (PMD) 和勃起脊柱肌肉密度 (ESMD),是经过机械血栓切除术的急性缺血性中风患者90天死亡率的重要预测指标.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 放射学 放射学是一门学科.
背景情况:
- 由于大动脉封闭而导致的急性缺血性中风需要内血管治疗.
- 麻症,与年龄相关的肌肉损失,可能会影响中风患者的结果.
- 对机械血栓切除术后的死亡率对萨尔科佩尼亚的影响进行调查至关重要.
研究的目的:
- 为了确定 sarcopenia 指标是否预测急性缺血性中风患者的90天死亡率.
- 评估骨肌肉参数与内血管治疗后死亡率之间的关联.
主要方法:
- 对194名急性缺血性中风患者的回顾性评估,这些患者接受了机械血栓切除术.
- 使用胸部CT扫描测量胸部肌肉面积 (PMA) 和密度 (PMD),以及直立脊柱肌肉面积 (ESMA) 和密度 (ESMD).
- 使用ROC曲线和后勤回归分析,分析骨肌参数与90天死亡率的关联.
主要成果:
- 90天死亡率为32% (62名患者).
- 勃起脊柱肌密度 (ESMD) 和胸部肌密度 (PMD) 显示出死亡率的最高预测性能.
- 确定PMD,ESMA和ESMD是90天死亡率的独立风险因素.
结论:
- 胸部肌肉密度 (PMD),直立脊柱肌肉区域 (ESMA) 和直立脊柱肌肉密度 (ESMD) 是潜在的死亡风险因素.
- 这些肌肉参数可能有助于对因中风而接受机械血栓切除术的患者进行风险分层.
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