【摘要】 ①目的探讨短暂性脑缺血发作(TIA)与不同部位后继脑梗死的关系。②方法选择首次入院脑梗死患者658例,其中有同侧TIA的患者122例,按照脑梗死前是否预先发生同侧的TIA分为无TIA组和有TIA组。采用CSS和ADL评分标准,于入院时进行神经功能缺损程度评分,比较各组间神经功能缺损程度差异有无显著性,并于病程1个月时对各组进行日常生活能力评分,评定患者预后恢复情况,分析TIA的神经保护性与不同部位后继脑梗死的关系。③结果脑梗死部位及范围在有无TIA组间比较差异无显著性(P>0.05)。梗死部位对预后的影响,在皮质表层I级预后预先有TIA为68%,无TIA为56%,比率高于无TIA,但二者差异无显著性(P>0.05)。而皮层下梗死I级预后有TIA为73%,无TIA为65%,两组间差异无显著性(P>0.05)。④结论TIA的神经保护性与脑梗死部位无明显的关系。更多还原

【Abstract】 Objective To investigate the correlation of transient ischemic attacks(TIAs)with the different position of the subsequent cerebral infarction(CI).Methods 658 patients who were the first hospitalization because of CI were chose,including 122 patients with the prior ipsilateral TIAs before CI.According to ipsilateral TIAs in advance,the patients were divided into two groups: the group with TIAs and the group without TIAs.The score of neurologic impairment was fulfilled according to the score standards of CSS when the patients were admitted to hospital and there was no significant difference between two groups,while the capability of daily living was evaluated with ADL after 1 month,the relation between the never protect of TIAs and the different position of the subsequent cerebral infarction.Results There was no significant difference in the position and the area of CI between two group patients with or without TIAs(P>0.05).The I grade prognosis of cortex of CI was 68% in the group with prior TIAs and 56% in the group without prior TIAs,the ratio of the former was higher than that of the later,but the difference between two groups was not significant(P>0.05).Whereas the I grade prognosis of subcortex of CI was 73% in the group with prior TIAs and 65% in the group without prior TIAs,there was not significant difference between two groups(P>0.05).Conclusion There was not relationship between never protection of TIAs and the different position of a subsequant cerebral infarction.更多还原