进展型脑梗死的CISS分型及预后分析  

Analysis of classification and prognosis of progressive cerebral infarction subtypes according to CISS criteria

作　　者：赵松耀[1] 崔亚平[1] 汪桂青[1] 王妮妮[1] 秦晓明[1] 尹刘杰[1] 窦海玲[1] 陈洁[1] 

机构地区：[1]郑州市中心医院神经内科五病区,郑州450007

出　　处：《中国实用神经疾病杂志》2013年第8期16-18,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析进展型脑梗死的中国缺血性卒中亚型分型(CISS分型)及不同分型之间预后的差异,了解CISS分型预测对预后的价值。方法前瞻性连续登记神经内科缺血性脑卒中患者,将符合进展型脑梗死标准的患者进行CISS分型。随访患者卒中后6个月的死亡、残疾情况,分析与预后有关的因素,比较不同亚型间的预后是否有差异。结果进展型脑梗死可见于不同的CISS亚型,以颅内外大动脉粥样硬化最常见,以心源性卒中预后最差,心源性脑卒中组和其他分型间死亡/残疾率均有显著性差异,大动脉粥样硬化组和穿支动脉病变组间死亡/残疾率有显著性差异。结论进展型脑梗死的CISS亚型可推测脑梗死进展的机制,并为预后估计提供依据。Objective To analyze the proportion and prognosis of progressive cerebral infarction according to the CISS cri- teria. Methods Consecutive cases of progressive cerebral infarction at the neurological wards were prospectively registered and were divided into different subtypes according to the CISS criteria. The proportion of death or disability of CISS subtypes of in 6-month after isehemic stroke were analyzed. Results The proportion of progressive cerebral infarction subtypes according to the CISS criteria was as follows： large-artery atherosclerosis, penetrating artery disease, cardiogenic stroke, other etiology, and undetermined etiology. Cardiogenic stroke had the worst outcome and highest morbidity among CISS subtypes. Conclusion CISS criterion should be useful to estimate the prognosis of progressive cerebral infarction.

关 键 词：进展型脑梗死 中国缺血性卒中亚型 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]