【摘要】 目的探讨急性脑梗死患者入院静息心率对预后的影响。方法选择2015年7月至2016年8月泰安市中心医院神经内科发病在48 h内的200例急性脑梗死住院患者,均行常规治疗,根据入院时心率水平分为<60次/min组、60~69次/min组、70~79次/min组、80~89次/min组、≥90次/min组,出院3个月后使用改良的Rankin量表(m RS)评估神经功能作为预后评价,m RS≤2分为预后良好,m RS≥3分为预后不良。分析急性脑梗死患者入院12 h内心率对预后的影响。结果本研究总共纳入患者200例,完成研究189例。<60次/min组及≥90次/min组急性脑梗死患者预后不良所占百分比发生率高,分别为20.21%(19/94),36.17%(34/94),60~69次/min组预后不良发生率10.64%(10/94)最低,差异具有统计学意义(χ~2=1.41,P<0.05)。结论急性脑梗死患者入院静息心率不同,其m RS评分亦不同,对预后有提示意义。更多还原

【Abstract】 Objective To investigate the relationship between resting heart rate after admission and the prognosis of patients with acute phase of cerebral infarction. Methods In this study,200 patients hospitalized for acute cerebral infarction within 48 hours of onset were collected. Resting heart rate was measured for each patient after admission.According to heart rate after admission,patients were divided into<60,60-69,70-79,80-89,and≥90 beats/min group.At 3 months after leaving hospital,we used the modified Rankin score( m RS) to assess the prognosis. m RS ≤2 was divided into favorable prognosis,m RS≥3 was divided into poor prognosis. Results Of the 200 cases,189 cases were completely investigated. Acute cerebral infarction patients of < 60 and ≥90 beats/min groups suffered the highest incidence rate of poor prognosis,respectively 20.21%( 19/94) and 36.17%( 34/94),while patients of 60 ~ 69 group suffered the lowest rate,10. 64%( 10/94). The difference was statistically significant( χ~2= 1. 41,P < 0. 05).Conclusion The m RS score is different from admitted resting heart rate of patients with acute cerebral infraction,which could implicate for prognosis.更多还原