影响恶性大脑中动脉梗死预后的因素分析与证候要素研究.pdf

短期预后不佳 OR 13．7，95％CI：1．卜163．1，P O．038 。 恶性大脑中动脉梗死急性期不同中医证候要素与早期不良结局或者短期预后无相关 性，未见统计学意义 P O．05 。 结论： 恶性大脑中动脉梗死的致死率及致残率高，入院时GCS评分及NIHSS评分是影响 大脑中动脉梗死不同中医证候要素与早期不良结局和短期预后均无相关性。 关键词：恶性大脑中动脉梗死；预后；中医证候要素；多因素分析 reI at anaI i S ofaffectthe i Sof Cor i vefactors ys prognos the TOM maI i middI ecerebraI i nfarcti onand of gnant study distribution syndrome reguIarity inicaIofChineseandWestern MediCine SpeciaIity：CI IntegratiMe Author：AimeChen Tutor：LiXinWang Abstract Background rate Patientswithmal middlecerebralinfarctionhaveamortal ignant ity as as even aretreatedactive hi from53to89 they by gh percentthough in withmorethan conservativetreatmentwithin5 survival days，and patients a rate、 80 leftwithsevere has percent disability．Ithighhighmortality a blowandburdento highdisabilityrate、poorprognosiS，whichbringsheavy thefamimembersof and society，thereforeactirelyseeking ly patients factors tomake bestonnicaltreatment a§sociated the withprognoslsi白ord每董j SOdSto of Strategiesimprovethe：prognosispati9礁点sis墅每ry TCM distribution of middlecerebral onthe malignant syndrome regularity andits with is is infarctioninacute prognosisless，it stage relationship tofurther Chineseji啪dwesternmediCine necessary explore．Combin爸。。traditional curatireeffecti treatmentSOa黔to clinical betterjimpreve气he ObjectiMe relatedfactorswhichinfluencethe outcomeandshort—term Analysis early onthe TCM ofacute MCA different prognosis maiignantinfarction．Study its of real middlecerebralinfarctioninacute and syndrome ignant stage with toestablishthe relationship guide therapyprogram prognosiS，which combinedtraditionalChinesemedicineandWesternmedicineto clinical improve effects． Methods of attacked theclinicaldata malignant Retrospectivelyanalyze patients to oneandNeural MCAinfarctionwhowereadmittedNeural Department Department threeof ofTCMfromOctober2009toOctober2014．The Guangdonghospital clinicaldataincludes gender，age，smoking，medicalhistory，onsettime，hospit～ timeof onadmissiont