中老年人代谢综合征与脑梗死神经功能缺失严重程度的关系研究  

Correlation Between Metabolic Syndrome and Neurologic Impairment in Patients with Cerebral Ischemia

作　　者：马莉[1] 胡沛[1] 张苏明[2] 姚长江[1] 

机构地区：[1]湖北省荆州市中心医院神经内科,湖北荆州434020 [2]华中科技大学同济医学院附属同济医院神经内科,武汉430030

出　　处：《神经损伤与功能重建》2011年第6期402-406,共5页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨中老年人代谢综合征(MS)与脑梗死神经功能缺失严重程度的关系。方法:初发脑梗死急诊患者619例,分为MS(+)组323例,MS(-)组296例,对2组9个不同梗死部位患者的性别、年龄、吸烟、饮酒4种混杂因素及美国国立卫生院脑卒中量表(NIHSS)评分情况进行统计学分析。结果:2组性别、年龄、吸烟及饮酒情况差异无统计学意义,除后动脉深穿支梗死外,其它8个梗死部位MS(+)组患者的NIHSS评分均显著高于MS(-)组患者(P<0.01)。结论:有MS的中老年脑梗死患者神经功能缺失严重程度重于无MS的患者。Objective： To assess the correlation between metabolic syndrome （MS） and neurologic impairment in patients with cerebral ischemia. Methods： Six hundred and nineteen pa tients with initial acute cerebral ischemia were recruited, and divided into MS（＋） （n=323） and MS（--）（n=296） groups. The sex ratio, average age, smoking history, drinking history and NIHSS scores of all the patients with infarction in nine brain regions in the two groups were sta- tistically analyzed. Results： There were no differences in sex ratio, average age, smoking or drinking history between the two groups. Apart from the patients with the occlusion of the deep branches of the posterior cerebral artery, the cases with infarction in the other brain areas in MS（＋） group got higher scores of NIHSS than those in MS（--） group （P^0.01）. Conclusion： Cerebral ischemia patients with MS had more serious neurologic impairment.

关 键 词：代谢综合征 瞒樟死 臃岛素柢杭 

分 类 号：R741[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]