在患有中风后的患者中,复发的危险因素
Xian Wang1, Hongying Zhao2, Liang Gao3
1Xian Wang Department of General Internal Medicine, Baoding Third Central Hospital, 6-2-802 Shanshuihuating, Baoding, Hebei Province 071000, P.R. China.
确定中风后复发的危险因素至关重要. 及时的抗药物治疗,特别是晚发性发作,可以改善中风后患者的治疗结果.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 脑卒中医学 脑卒中医学
背景情况:
- 脑卒中后 (PSE) 是中风的常见并发症.
- 了解复发的风险因素对于患者管理至关重要.
- 在PSE中启动抗药物 (AED) 的最佳时间仍在调查中.
研究的目的:
- 确定与PSE患者复发相关的危险因素.
- 确定在PSE患者中启动AED治疗的最有效时间.
主要方法:
- 对90名PSE患者进行了回顾性研究.
- 复发性和非复发性群体之间的临床数据比较.
- 后勤分析以确定复发的重大风险因素.
主要成果:
- 皮质皮质病变复发的关键风险因素包括皮质病变,大病变大小 (≥3厘米),晚发作,脑内出血 (ICH),出血转变,高homocysteinemia (HHcy) 和高的NIHSS分数 (≥15).
- 根据时间,AED治疗疗效差异很大.
- 早期治疗,早期未治疗和晚期治疗组的疗效较高,而晚期未治疗组的疗效较高.
结论:
- 卒中特征 (损伤位置/大小),发作时间,ICH,出血转变,HHcy和NIHSS得分是PSE复发的重要风险因素.
- 虽然早期发病的PSE可能不需要立即AED治疗,但对于晚发病的病例,建议立即启动.
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