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Stroke:急性脑卒中发作?赶紧去医院!脑卒中预后与发病到就诊时间间的相关性

2017-10-18 shaosai MedSci原创

在未进行再灌注治疗的患者中,早期及时就诊在提高脑卒中后临床预后的作用尚不清楚。本研究旨在验证在未行再灌注治疗或有小卒中的患者中早期及时入院就诊与良好预后间是否有相关性,并将结果发表在Stroke上。

在未进行再灌注治疗的患者中,早期及时就诊在提高脑卒中后临床预后的作用尚不清楚。本研究旨在验证在未行再灌注治疗或有小卒中的患者中早期及时入院就诊与良好预后间是否有相关性,并将结果发表在Stroke上。本研究共纳入了自2007年7月至2014年12月的6780例缺血性脑卒中的患者(年龄69.9±12.2岁,男性63.9%)。发病到就诊时间归类为T 0-1, ≤1 小时; T 1-2, >1 和≤2小时; T 2-3, >2和 ≤3 小时; T 3-6, >3 和 ≤6 小时; T 6-12, >6 和 ≤12 小时; T 12-24, >12 和 ≤24 小时; 和 T 24-, >24 小时。主要的预后结果包括神经功能改善(住院期间NIHSS评分降低≥4或出院时NIHSS评分为0)、功能良好(90天mRS评分为0-1)。在调整潜在的混杂因素后,利用Logistic回归分析评价发病到入院时间与主要预后间的相关性。即使对混杂因素如再灌注治疗和基线NIHSS评分后,在发病到入院就诊时间在6小时内时,时间越短神经功能改善(参考T 24- ,T 0- 1, 2.

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    2017-10-21 yfjms

    学习了

    0

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    2017-10-19 大爰

    学习并分享学习!!

    0

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