OCSP分型对超早期动脉溶栓治疗的价值  

The validity of OCSP classification in acute intraarterial thrombolysis treatment.

作　　者：徐蔚海[1] 黄一宁[1] 高山[1] 金征宇[1] 张青[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院,北京100730

出　　处：《中国神经精神疾病杂志》2003年第3期177-179,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的　探讨OCSP(Oxfordshirecommunitystrokeproject)分型应用于超早期动脉溶栓治疗的价值。方法　将我院 2 7例超早期动脉溶栓患者进行OCSP分型并与血管造影 (DSA)、NIHSS评分进行比较分析。结果　以DSA为金标准 ,OCSP分型各组患者诊断的敏感度和特异度分别为完全前循环梗塞 (TACI) (87 5 % ,95 % ) ,部分前循环梗塞(PACI) (72 7% ,88 9% ) ;腔隙性梗塞 (LACI) (6 6 7% ,92 3% ) ;后循环梗塞 (POCI) (10 0 % ,10 0 % )。患者入院NIHSS评分与分型显著相关 (P =0 0 2 1)。结论　对超早期动脉溶栓患者进行OCSP分型是可行的 ,与DSA、NIHSS的一致性较好 ;但这需要由更大样本的研究来验证。Objective To investigate the validity of OCSP classification in acute intraarterial thrombolysis treatment. Methods In 27 patients receiving intrarterial treatment, OCSP classification was compared with digital subtraction angiography (DSA) and National institutes of Health stroke scale (NIHSS) on enrollment. Results Using DSA as the gold standard, sensitivity and specificity of each OCSP subtype were TACI(87.5%, 95%), PACI(72.7%, 88.9%), LACI(66.7%, 92.3%), and POCI(100%, 100%). NIHSS on enrollment significantly correlate with the subtypes of the patients ( P=0 021 ). Conclusions OCSP classification could be used in acute intraarterial thrombolysis, it correlates well with DSA and NIHSS. However, further larager studies are still needed.

关 键 词：脑梗死 OCSP分型 超早期动脉溶栓 治疗 血管造影 

分 类 号：R743.33[医药卫生—神经病学与精神病学]