The role of cerebral infarction regions in predicting the progressive cerebral infarction
10.3760/cma.j.issn.1673-4904.2018.10.001
- VernacularTitle:不同部位梗死灶对早期神经功能恶化的预测价值分析
- Author:
Hongying LIANG
1
Author Information
1. 046000,山西省长治市第二人民医院神经内科二病区
- Keywords:
Brain infarction;
Forecasting;
Early neurological deterioration
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(10):865-869
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of cerebral infarction regions in predicting the progressive cerebral infarction (PCI). Methods One hundred and sixteen patients with cerebral infarction from Oct 2016 to Oct 2017 were selected. Patients were classified into cortical, basal gangliaon, coronaradiata and posterior circulation infarction according different regions. The patients were divided into non-PCI group and PCI group according to their clinical manifestations. The role of cerebral infarction regions in predicting the progressive cerebral infarction was conducted by unitary analysis and multivariate analysis. Results Eighty-five cases of non-PCI and 31 cases of PCI were included. The number of cases of cortical, basal gangliaon, coronaradiata and posterior circulation infarction were 55, 29, 21 and 10. Multivariate analysis showed that age (OR=1.257, 95％CI 1.117-2.426, P=0.031), history of diabetes (OR=1.342, 95％CI 1.121-2.162, P=0.022), systolic pressure (OR=1.264, 95％ CI 1.254- 2.209, P=0.033), location of infarct (OR=1.153, 95％ CI 1.064-1.528, P=0.041), baseline NIHHS score (OR=1.634, 95％ CI 1.248- 1.688, P=0.029) were independent risk factors affecting the occurrence of progressive cerebral infarction. The frequency of progression was significantly increased in cortical infarction , compared with that in other subtypes of cerebral infarction. The trend was still significant even after adjustment for age and systolic pressure. Conclusions The occurrence of progressive cerebral infarction is influenced by multiple factors, and the location of the infarct is one of its independent risk factors, especially for patients with cortical infarction.
