在急性缺血性中风中受损的臂流介导扩张和早期神经系统恶化之间的关联:回顾性分析
Sang Hee Ha1, Bo Hye Yoon1, Bon Gook Koo1
1Department of Neurology, Gil Medical Center, Gachon University College of Medicine, Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, South Korea.
BMC neurology
|February 5, 2025
概括
通过流媒扩张 (FMD) 测量的内皮功能受损与急性缺血性中风 (AIS) 后的早期神经系统恶化 (END) 有关. 这种关联在患有小血管疾病 (SVD) 的患者中尤为明显.
科学领域:
- 神经学 神经学
- 心血管科学 心血管科学
- 医学研究 医学研究
背景情况:
- 早期的神经系统恶化 (END) 对急性缺血性中风 (AIS) 患者的长期结果产生负面影响.
- 通过流媒扩张 (FMD) 评估的内皮功能是中风并发症的潜在标志物.
研究的目的:
- 研究AIS患者内皮功能 (FMD) 和END之间的关联.
- 探索口病在预测END中的作用,考虑不同的中风机制.
主要方法:
- 对1,262名AIS患者的回顾性审查,这些患者在中风发作7天内接受了口炎评估.
- END定义为NIH中风量表上升≥2点或72小时内运动分数上升≥1点.
- 多变量分析以确定与END相关的因素,以及口病和END之间的关系.
主要成果:
- 14.6%的AIS患者经历了END.
- 患有END的患者年龄较大,先前中风的患病率较高,并且表现出较低的口炎.
- 低口病和中风病史独立与END相关 (中风病史的aOR=1.728).
- 在小血管疾病 (SVD) 亚组中,低口病与END有显著的关联 (aOR=0.789).
结论:
- 损坏的内皮功能 (低口病) 与急性缺血性中风患者的早期神经系统恶化有关.
- 这种关联在患有小血管疾病 (SVD) 的患者中尤为显著.
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