影响皮质下脑梗死后进展性运动功能缺损相关因素研究

The related factors of progressive motor deficits after acute subcortical cerebral infarction

目的研究分析皮质下脑梗死后进展性运动功能缺损的影响因素。方法 2013年10月—2015年12月收住本院的急性皮质下脑梗死患者116例,参照卒中评定量表(NIHSS)对患者进行评价,并依据入院后运动功能缺失情况将其分为进展性和非进展性运动功能损伤(进展组和非进展组)。通过患者年龄、性别、既往病史等基础资料以及影像学资料分析进展性运动功能损伤的危险因素。结果进展组患者既往脑梗死病史、梗死部位、层面以及梗死灶复发和扩发等因素与非进展组具有显著差异(P<0.05),而二者其余资料比较,差异均无统计学意义(P>0.05)。结论既往脑梗死病史、梗死部位、层面以及梗死灶复发和扩发等因素可能是皮质下脑梗死后进展性运动功能缺损的危险因素。

Objective To investigate the related factors of progressive motor deficits after acute subcortical cerebral infarction.Methods 116 cases of patients suffered acute subcortical cerebral infarction were selected,and divided into progressive and non progressive motor functional impairment（ progress group and non progress group） according to the condition of the loss of motor function after admission with NIHSS. The risk factors of progressive motor function injury were analyzed by means of patient＇s age,gender,past medical history,and other basic data and imaging data.Results The history of cerebral infarction,infarct location,level and the recurrence of infarction lesions and the expansion in progress group were significantly difference from the non progress group（ P0.05）,but there had no statistically significant in the rest of the data of the two groups（ P0.05）.Conclusions The history of cerebral infarction,infarct location,level and the recurrence of infarction lesions and the expansion were risk factors of progressive motor deficits after acute subcortical cerebral infarction.