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1、孤立性脑桥梗死急性期不同形态学部位与神经功能缺损进展的相关性分析【摘要】 目的:分析新?l 孤立性脑桥梗死不同的形态学部位与患者急性期发生神经功能缺损进展的相关性。方法:对 2012年 2月-2016 年 2月收治的新发孤立性脑桥梗死 168例患者临床资料进行回顾性分析,患者均经 MRI确诊,按患者是否出现急性期的神经功能缺损进展分成进展组和未进展组,分析两组患者临床特征、实验室指标、形态学部位差别及不同的形态学部位与神经功能缺损进展相关性。结果:新发孤立性脑桥梗死 168例患者中,进展组占 26.8%(45/168) ,未进展组占 73.2%(123/168) 。与未进展组比较,进展组在女性
2、患者57.8%(26/45) vs 43.1%(53/123) , x2=5.137、吸烟13.3%(6/45) vs 26.8%(33/123) , x2=5.092、住院时间(22.97.1)d vs (16.97.3)d,t=6.137、短期预后不良比例77.8%(35/45) vs 33.3%(41/123) , x2=31.812、脑桥下部梗死率44.4%(20/45) vs 30.1%(37/123) , x2=6.038,差异均有统计学意义(P【关键词】 脑桥梗死; 神经功能缺损; 急性期; 弥散加权成像 Relationship between Different Topogr
3、aphic Location and Neurological Deterioration in Acute New Isolated Pontine Infarction/WANG Kai,WANG Hai-jun./Medical Innovation of China,2017,14(11):001-004 【Abstract】 Objective:To discuss the relationship between different topographic location and neurological deterioration(ND)in patients with acu
4、te new isolated pontine infarction.Method:168 patients with acute new isolated pontine infarction from February 2012 to February 2016 and identified by diffusion weighted imaging(OWI) ,were included for retrospective review.Patients were divided into two groups according to their clinical symptoms:t
5、he patients with ND group and thepatients without ND group.The correlations of ND with risk factors,laboratory examination results,clinical manifestations and different topographic locations were analysed by statistical tests.Rusult:Among 168 patients,26.8%(45/168)were diagnosed with ND,73.2%(123/16
6、8) were diagnosed without ND.Univariate analysis showed that there were differences in female ratio57.8%(26/45) vs 43.1%(53/123) , x2=5.137,smoking ratio13.3%(6/45)vs 26.8%(33/123) ,x2=5.092,mean length of hospital stay(22.97.1)d vs (16.97.3)d,t=6.137,ratio of worse short-term clinical outcomes77.8%(35/45) vs 33.3%(41/123) ,x2=31.812 and ratio of lower pontine infarction44.4%(20/45) vs 30.1%(37/123) , x2=6.038 between two groups (P