缺血性脑卒中TOAST分型及其与预后关系的分析(1)
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【摘要】 目的 研究缺血性脑卒中TOAST分型及其与预后的关系。方法 选择2009年1月~2011年1月住院治疗的缺血性脑卒中患者437例进行TOAST分型，分析TOAST各亚型与预后的关系。结果 大动脉粥样硬化型(LAA)292例占66.82%，心源性栓塞型(CE)78例占17.85%，小动脉闭塞型(SAO)28例占6.41%，其他明确原因型(SOE)6例占1.37%，不明原因型(SUE)33例占7.55%。各型6个月末病死率比较，CE最高22例(28.21%)、SAO最低1例(3.57%)，差异有统计学意义(P<0.05)，各型6个月末死亡/病残率比较，LAA最高131例(44.86%)，SAO最低2例(7.14%)，差异有统计学意义(P<0.05)。结论 TOAST分型作为一种缺血性脑卒中病因分型方法，可以为缺血性脑卒中的预后估计及复发的预防提供参考依据。
【关键词】 缺血性脑卒中；TOAST分型；预后；关系
The analysis on the relationship between TOAST subtypes of cerebral ischemic stroke and its prognosis
PAN-Zhixin LI-Fei LIU-Qingge YE-Hong
Department of Neurology, Nanhai Hospital Attached to the South Medical University, Foshan City ,Guangdong Province ,528200 China
【Abstract】 Objective Study the relationship between TOAST subtypes of cerebral ischemic stroke and its prognosis. Methods Chose 437 cases cerebral ischemic stroke patients from January 2009 to January 2011 , who were in our hospital, and to be had the TOAST subtypes, analyzed every TOAST subtype and its prognosis. Results 292 (66.82 percent) were large-archery atherosclerosis, cardio embolism was 78 cases,17.85 percent, small-artery occlusion was 28 cases,6.41 percent, the stroke of other determined cause was 6 cases,1.37 percent, and stroke of undetermined cause was 33 cases,7.55 percent. All type compared the case unfatality rate after six months, the highest was CE, there were 22 cases,28.21 percent, SAO was the lowest with 1 cases,3.57 percent, there were different statistical significance (P<0.05).And all type compared the unfatality rate and disability rate,131 cases in the LAA was the highest, were 44.86 percent,2 cases in the SAO was the lowest, was 7.14 percent, there were different statistical significance (P<0.05). Conclusion TOAST criterion should be useful to estimate the prognosis of stroke. It is feasible to use TOAST criterion in China.
【Keywords】 cerebral ischemic stroke; TOAST subtypes; prognosis; relationship
缺血性脑卒中(cerebral ischemic stroke)又称脑梗死(cerebral infarction) ......
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