1019例脑梗死OCSP分型及其与预后关系的研究  

Classification and one year prognosis of 1019 ischemic stroke patients according to OCSP criteria

作　　者：安中平[1] 周官恩[1] 王景华[2] 宁宪嘉[2] 

机构地区：[1]天津市环湖医院神经内科,天津300060 [2]天津市神经病学研究所流行病学研究室,天津医科大学总医院神经内科,天津300052

出　　处：《中风与神经疾病杂志》2010年第6期549-551,共3页Journal of Apoplexy and Nervous Diseases

基　　金：天津市科委科技支撑计划重点项目(No.07ZCGYSF02800)

摘　　要：目的了解脑梗死患者OCSP临床分型的构成及不同亚型与预后及复发的关系。方法采用前瞻性队列研究,登记2007年1月～2008年5月环湖医院神经内科确诊的1019例脑梗死患者,按照OCSP标准分型分为TACI、PACI、POCI和LACI,并进行随访,分析各亚型与预后及复发的关系。结果 OCSP各亚型构成比分别为:TACI占4.3%、PACI占54.2%、POCI占29.4%、LACI占12.1%,分型与预后明显相关,TACI的预后最差,POCI和LACI预后相对较好,PAC1次之。复发与分型有明显相关。结论 OCSP分型作为一种脑梗死临床分型方法 ,可以为脑梗死的预后判断提供参考依据。Objective To analyze the proportion and prognosis of ischemic stroke subtypes according to the OCSP criteria.Methods Data were collected prospectively from consecutive stroke inpatients in Huanhu Hospital from Janurary 2007 to May 2008.After medical records and auxiliary diagnostic studies were collected,all patients were followed up and were classified by OCSP as TACI,PACI,POCI and LACI.The relation between OCSP classification and the prognosis and recurrence of cerebral infarction were analyzed.Results The proportion of ischemic stroke subtypes according to OCSP criteria was as follows：TACI 4.3%,PACI 54.2%,POCI 29.4%,LACI 12.1%.There existed corresponds between OCSP subtypes and the prognosis.The prognosis of TACI was the worst,while the prognosis of POCI and LACI was relatively better than that of PACI.There was relationship between OCSP subtypes and the recurrence of cerebral infarction.Conclusion OCSP criteria can be used to predict the prognosis of patients with cerebral infarction.

关 键 词：脑梗死 分型 预后 OCSP 

分 类 号：R743.3[医药卫生—神经病学与精神病学]