颈动脉粥样硬化性狭窄对急性脑梗死NIHSS、Glasgow评分的影响  

Effect of carotid atherosclerotic stenosis on scores of NIHSS and Glasgow in patients with acute cerebral infarction

作　　者：高亚军[1] 房阁[1] 韩秀平[1] 

机构地区：[1]延安大学附属医院,陕西延安716000

出　　处：《实用临床医药杂志》2016年第1期23-25,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨颈动脉粥样硬化性狭窄对急性脑梗死患者神经功能缺损的影响。方法本院收治的急性脑梗死患者231例均行颈动脉彩色多普勒超声检测,计算颈动脉狭窄率,同时记录患者卒中量表（NIHSS）及格拉斯哥昏迷量表（Glasgow）评分。结果 231例患者中,重度狭窄（狭窄率≥70%）11例（4.76%）,中度狭窄（狭窄率50%~69%）21例（9.09%）,轻度狭窄（狭窄率1%~49%）133例（57.58%）,无狭窄（狭窄率0%）66例（28.57%）。各组NIHSS评分有显著差异（P〈0.05）;各组Glasgow评分差异无统计学意义（P〉0.05）;颈动脉狭窄率与NIHSS评分呈显著正相关（r=0.422,P〈0.05）。结论颈动脉粥样硬化性狭窄对急性脑梗死患者神经功能缺损有一定影响,颈动脉狭窄率越高,患者NHISS评分越高,但对Glasgow评分无显著影响。Objective To investigate the effect of carotid atherosclerotic stenosis on neurologic impairment of patients with acute cerebral infarction. Methods A total of 231 patients with acute cerebral infarction in our hospital were examined by carotid color Doppler ultrasound,and the rate of carotid artery stenosis was calculated. The scores of National Institutes of Health Stroke Scale（ NIHSS） and Glasgow Coma Scale（ Glasgow） were recorded. Results Out of 231 patients,severe stenosis occurred（ stenosis rate more than or equaling to 70%） in 11 cases（ 4. 76%）,moderate stenosis（ stenosis rate at a rage of 50% to 69%） in 21 cases（ 9. 09%）,mild stenosis（ stenosis rate at a range of 1% to 49%） in 133 cases（ 57. 58%）,no stenosis（ stenosis rate of 0%） in 66 cases（ 28. 57%）. There were significant differences in NIHSS scores in the four group（ P〈0.05）,and there was no significant difference in Glasgow score（ P〈0.05）,and there was a significant positive correlation between carotid stenosis and NIHSS score（ r = 0. 422,P〈0.05）. Conclusion Carotid atherosclerotic stenosis has certain effect on the neurological function impairment in patients with acute cerebral infarction,the higher the carotid artery stenosis rate is,the higher the NHISS score is,but it has no significant effect on Glasgow score.

关 键 词：颈动脉 粥样硬化性狭窄 急性脑梗死 神经功能缺损 

分 类 号：R743[医药卫生—神经病学与精神病学]