与中风相关的发作的特征及其预测因素:第三级护理中心的经验
Erum Shariff1, Saima Nazish1, Azra Zafar1
1Department of Neurology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Annals of African medicine
|July 22, 2024
概括
脑卒中后发作 (PSS) 影响13.8%的中风患者,中风的严重程度和混乱是关键风险因素. 警监测对于患有缺血性心脏病或接受神经外科手术的患者至关重要.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 脑卒中后发作 (PSS) 是已知的中风并发症.
- 确定PSS的风险因素对于患者管理至关重要.
- 之前的研究已经描述了PSS的各种风险因素.
研究的目的:
- 为了确定PSS在阿拉伯人口中的发生率.
- 在这个人口群体中确定与PSS相关的特定风险因素.
主要方法:
- 分析了一组594名中风患者 (年龄大于18岁),至少24个月的随访时间.
- 检查了患者记录,以确定发作的发生.
- 发作被分为早期 (在1周内) 或晚期 (在1周后) 后中风.
主要成果:
- 后遗症综合征的总发病率为13.8% (82名患者).
- 较高的发作发生率与前部循环中风,皮质位置,大动脉动脉样硬化,较低的激活部分血栓形成时间 (APTT),缺血性心脏病 (IHD) 和切术有关.
- 增加中风严重程度和呈现时的困惑是PSS的独立风险因素.
结论:
- 较大的中风严重程度和改变的传感器是PSS发展的独立风险因素.
- 患有IHD,较低APTT或接受神经外科手术的患者需要密切监测PSS.
- 调查结果强调了确定风险因素对PSS预防和管理的重要性.
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