AOP脑梗死临床分析研究  

Clinical Analysis Research on AOP Cerebral Infarction

作　　者：江斌[1] 毕敏[1] 李剑鹏[1] 陈汉水[1] 张艺丹[1] 童绥君[1] 

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中国医学创新》2016年第28期108-110,共3页Medical Innovation of China

摘　　要：目的:研究Percheron动脉(AOP)脑梗死的临床表现、危险因素和预后,同时与单侧旁正中丘脑梗死进行对照研究。方法:选取2010年3月-2015年6月本院收治的AOP脑梗死患者20例作为A组,另择单侧旁正中丘脑梗死患者24例作为B组,通过临床资料及磁共振明确诊断,比较两组患者临床表现、神经功能缺损程度及治疗90 d后预后情况。结果:AOP梗死特征性表现为双侧旁正中丘脑梗死伴或不伴中脑旁正中区梗死,临床主要表现为意识障碍、遗忘及眼肌麻痹;A组心房纤颤发生率高于B组,两组24 h、3 d美国国立卫生研究院卒中量表(NIHSS)评分及治疗90 d改良RANKIN量表(mRS)评分比较差异均有统计学意义(P<0.05)。结论:AOP脑梗死是特殊类型的丘脑梗死,临床表现较单侧旁正中丘脑梗死严重,预后差。Objective： To study the clinical features, risk factors and prognosis of AOP infarction, then control study with unilateral paramedian thalamic infarction.Methed： From March 2010 to June 2015, 20 cases of AOP infarction in our hospital were selected as the group A, another 24 cases of unilateral paramedian thalamic infarction were selected as the group B, clear diagnosis through clinical data and magnetic resonance, the clinical features, the degree of neurological deficits and the prognosis after 90 d of two groups were compared.Result： The characteristic of AOP infarction was bilateral paramedian thalamic infarction with or without the midbrain infarction. The main clinical manifestations were altered mental status, amnesia and ophthalmoplegia.The incidence of atrial fibrillation in group A was higher than group A, two groups of 24 h, 3 d National Institutes of Health Stroke Scale （ NIHSS ） score and treatment 90 d modified RANKIN scale （ mRS ） scores had statistically significant differences （ P〉0.05 ） .Conclusion： The AOP infarction is a special type of thalamic infarction.The AOP term is more serious in clinical manifestations and prognosis compared with unilateral paramedian thalamic infarction.

关 键 词：AOP梗死 旁正中丘脑梗死 栓塞性脑梗死 危险因素 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]