丘脑梗死患者的临床特点及预后分析  

Analysis of clinical characteristics and prognosis of patients with thalamic infarction

作　　者：杨颖 段永伟 YANG Ying;DUAN Yongwei(Department of Neurology,Beijing Shuili Hospital,Beijing 100036,China)

机构地区：[1]北京水利医院神经内科,北京100036

出　　处：《中国现代医生》2024年第4期31-33,55,共4页China Modern Doctor

摘　　要：目的分析丘脑梗死患者的临床特点和预后。方法回顾性分析2016年1月至2022年1月于北京水利医院住院的47例单纯丘脑梗死患者的临床资料,采用头颅磁共振成像+弥散加权成像检查确定丘脑梗死区域,观察不同丘脑梗死区域患者的临床表现特点和预后。结果47例单纯丘脑梗死患者中,前核区梗死4例,外侧核区梗死22例,内侧核区梗死13,后侧核区梗死8例。临床表现以病灶对侧偏瘫、偏身感觉障碍及记忆障碍最常见。外侧核区、前核区、后侧核区梗死患者的临床预后较好,内侧核区梗死患者的预后最差。随访90d时患者的改良Barthel指数量表评分均显著高于入院时(P<0.05)。结论丘脑梗死患者易出现偏瘫、偏身感觉障碍、记忆障碍等临床表现,但总体预后良好。Objective To analyze the clinical characteristics and prognosis of patients with thalamic infarction.Methods The clinical data of 47 patients with simple thalamic infarction hospitalized in Beijing Shuili Hospital from January 2016 to January 2022 were retrospectively analyzed.Cranial magnetic resonance imaging and diffusion weighted imaging were used to determine the infarct area of the thalamus,and the clinical characteristics and prognosis of patients with different thalamic infarction regions were observed.Results Among 47 patients with simple thalamic infarction,there were 4 cases of anterior nucleus infarction,22 cases of lateral nucleus infarction,13 cases of medial nucleus infarction and 8 cases of posterior nucleus infarction.The most common clinical manifestations were contralateral hemiplegia,hemidysesthesia and memory impairment.The clinical prognosis of patients with lateral nucleus,anterior nucleus and posterior nucleus infarcts was better,and the prognosis of patients with medial nucleus infarcts was worst.At 90 days of follow-up,the scores of the modified Barthel index were significantly higher than those at admission(P<0.05).Conclusion Patients with thalamic infarction were prone to clinical manifestations such as hemiplegia,hemidysesthesia and memory impairment,but the overall prognosis is good.

关 键 词：丘脑梗死 临床特点 预后 

分 类 号：R743[医药卫生—神经病学与精神病学]