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在急性缺血性中风患者中,脑术后血栓切除术等离子体D-的预测值
Wensheng Zhang1,2, Weifang Xing1, Jiyun Feng3
1Department of Neurology, Heyuan People's Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Heyuan, People's Republic of China.
International journal of general medicine
|December 9, 2024
概括
在紧急手术前D-二聚物水平升高可以预测血栓切除术后急性缺血性中风 (AIS) 患者的脑. 这一发现为中风管理和患者的结果提供了关键的见解.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 生物标志物 生物标志物
背景情况:
- 大脑是急性缺血性中风 (AIS) 血栓切除术后的一种严重并发症.
- 预测这种并发症对于改善患者治疗结果至关重要.
研究的目的:
- 调查AIS患者在成功进行血栓切除术后脑的紧急术前血D-二分体水平的预测价值.
主要方法:
- 对278名经过成功血栓切除术的AIS患者进行了回顾性分析.
- 使用SPSS 26.0和接收器操作特征 (ROC) 曲线分析进行统计分析,以评估D-二次元的预测值.
主要成果:
- 大脑发生在7.19%的患者中.
- 较高的NIH中风量,较低的ASPECTS,较差的附带循环和较低的D-二次数水平在病例中被观察到.
- 升高的D-二次数 (调整的OR=1.131,P=0.017) 是脑的独立预测因子.
- ROC分析显示,D-二次体具有75.0%的灵敏度,73.3%的特异性,AUC为0.766.
结论:
- 紧急手术前血D-二聚合物水平升高是AIS中脑术后脑的独立预测因素.
- 这一发现对风险分层和管理策略具有重要的临床意义.
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