近期CT值变化与急性脑梗死SAS及远期SF-36的关系

Recent Changes in the Relationship between CT Values and Long-term Acute Cerebral Infarction SAS and the SF-36

目的探讨近期CT值变化与急性脑梗死(acute cerebral infarction,ACI)焦虑自评量表(SAS)及远期"健康调查简易量表"(SF-36)的关系。方法对比分析梗死灶近期4次CT平均值41例10 Hu以上、29例15 Hu以上、23例20 Hu以上者一般情况如年龄、性别、发病至入院时间、文化程度、神经功能缺损评分(NDS)、日常生活质量评分(ADL)及5个月后SAS、3年后SF-36各维度评分。结果近期内不同CT均值间一般情况如年龄、性别、发病至入院时间、文化程度、病情等比较无显著性差异(P>0.05)。近期梗死灶CT值降低程度越大(CT平均值越低),5个月后SAS越低(P<0.05),3年后SF-36各维度评分越高(P<0.05,P<0.01)。结论近期内CT变化不但为ACI患者治疗提供依据,而且对其焦虑的发生、发展及远期生活质量的程度进行判断。

Objective Discussion of recent CT value in patients with acute cerebral infarction Self-Rating Anxiety Scale（SAS） and long-term ＂Health Easy Scale Survey＂（SF-36） relationship. Method Comparative analysis of recent infarction CT 4 times more than the average of 41 cases of 10 Hu, 29 cases more than 15 Hu, 23 cases of 20 Hu or more general, such as age, sex, time from onset to hospitalization, education, neurologic deficit score（NDS） daily quality of life score（ADL） and five months after the SAS, 3 years after the SF-36 scores for each dimension. Result In the near future as there was no significant difference（P 〉0.05） by age, sex, time from onset to hospitalization, education, disease, etc. between different CT mean in general. Recent CT value decreased infarct greater extent（CT mean lower）, five months after the lower SAS（P 〈0.05）, 3 years after the SF-36 dimensions with higher scores（P〈 0.05, P 〈0.01）. Conclusion CT changes in the near future will not only provide the basis for the treatment of patients with ACI, and to judge its occurrence, level of development and long-term quality of life of anxiety.