两侧大脑半球急性脑梗死的比较性研究

The compare of acute ischemic stroke in different hemisphere

目的探讨左右两侧大脑半球急性脑梗死的临床特点。方法回顾性分析282例急性脑梗死患者,按照梗死部位分为左侧大脑半球脑梗死组152例和右侧大脑半球脑梗死组130例,分别对2组患者临床资料进行比较。结果左侧脑梗死组的发病率、入院时NIHSS评分和GCS评分、病死率高于右侧脑梗死组,差异有统计学意义(P<0.05)。左侧大脑中动脉支配区脑梗死发病率高于右侧大脑中动脉支配区脑梗死,差异有统计学意义(P<0.05)。结论左侧大脑半球急性脑梗死发病率高于右侧,且病情重、病死率高,提示不同侧大脑半球脑梗死的临床特点存在差异。

Objective To explore differences in clinical characteristics between left hemispheric acute ischemic stroke （LHS） and right hemispheric acute ischemic stroke（RHS）.Methods Totally 282 cases of ischemic strokes patients were retro‐spectively studied. There were 152 patients with LHS group and 130 patients with RHS group. We compared with clinical in‐formation between the two groups.Results Compared with the RHS ,there were higher frequency ,higher NIHSS scores ,low‐er GCS scores and higher mortality in the LHS（P〈0.05）. There were significantly more ischemic events in different middle cerebral artery distribution （P〈0.05）.Conclusion LHS are more common ,more severe ,poorer outcome and higher mortality than RHS ,which may indicate that differences in clinical characteristics between LHS and RHS.