Effect of blood volume expansion on the Prognosis of Acute Cerebral Infarction with asymmetrical vein sign on SWI

doi:10.3877/cma.j.issn.2095-9133.2018.06.009

Abstract

Abstract:

Objective

To explore whether the prognosis of neurological function in patients with acute cerebral infarction complicated by asymmetric vein sign (AVS) could be improved after dilation therapy.

Methods

There were forty patients with acute cerebral infarction who met the inclusion criteria. According to susceptibility weighted imaging (SWI), patients who were given hydroxyethyl starch were classified into 2 groups: AVS and non-AVS . There were 22 cases in the AVS group and 18 cases in the non-AVS group. NIHSS scores at admission, discharge and mRS scores at the 90^th day after discharge were collected. The differences of NIHSS at discharge and mRS at the 90^th day after discharge were compared between the two groups.

Results

The NIHSS score (4.86±1.89) of the AVS group after discharge was significantly lower than that in the non-AVS group(6.56±2.68), which showed a significantly statistical difference (P<0.05). The good prognosis rate of mRS at the 90^th day was 86.36% (AVS group) VS 55.56% (non-AVS group) respectively, which showed a significantly statistical difference between AVS and non-AVS group(χ² =4.71, P<0.05).

Conclusion

Patients with acute cerebral infarction who are associated with AVS have better prognosis of short-term and long-term neurological function after dilation than patients without AVS do.

Key words: Asymmetry Vein Sign, stroke, Prognosis

Jing Wu, Bona Wu. Effect of blood volume expansion on the Prognosis of Acute Cerebral Infarction with asymmetrical vein sign on SWI[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2018, 04(06): 358-361.

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https://zhwsyjdzzz.cma-cmc.com.cn/EN/Y2018/V04/I06/358

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References 15

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项目	例数	年龄(岁，±s)	男性[例(%)]	高血压[例(%)]	糖尿病[例(%)]	吸烟[例(%)]	LDL-C(mmol/L，±s)	空腹血糖(mmol/L，±s)
无AVS组	18	69.33±11.47	9(50.00)	16(88.89)	5(27.78)	4(22.22)	2.85±0.89	5.66±1.67
AVS组	22	67.68±11.60	12(54.55)	18(81.82)	8(36.36)	6(27.27)	3.00±0.95	5.98±1.5
t/χ值	?	0.45	0.08	0.39	0.33	0.14	0.49	0.64
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

项目	例数	年龄(岁，±s)	男性[例(%)]	高血压[例(%)]	糖尿病[例(%)]	吸烟[例(%)]	LDL-C(mmol/L，±s)	空腹血糖(mmol/L，±s)
无AVS组	18	69.33±11.47	9(50.00)	16(88.89)	5(27.78)	4(22.22)	2.85±0.89	5.66±1.67
AVS组	22	67.68±11.60	12(54.55)	18(81.82)	8(36.36)	6(27.27)	3.00±0.95	5.98±1.5
t/χ值	?	0.45	0.08	0.39	0.33	0.14	0.49	0.64
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	入院时NIHSS评分	出院时NIHSS评分
无AVS	18	9.11±2.68	6.56±2.68
有AVS	22	8.91±2.00	4.86±1.89
t值	?	0.27	2.26
P值	?	>0.05	0.05

组别	例数	入院时NIHSS评分	出院时NIHSS评分
无AVS	18	9.11±2.68	6.56±2.68
有AVS	22	8.91±2.00	4.86±1.89
t值	?	0.27	2.26
P值	?	>0.05	0.05

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