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偏身癫痫

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After comparing the clinical symptoms and physical signs between the analogous apoplexy group and apoplexy one, using American SAS statistical analysis soft ware to take logistic regression analysis on 2206 cases, combining with clinical practice, bibliography investigation and specialists experience, the main symptoms of analogous apoplexy were defined as vertigo, sensory disturbance, severe headache, visual abnormality, involuntary movement, mental aberration, epileptic attack, agnosia, alexia and agraphia, etc.

将临床上不以传统中风的突然昏仆、半身不遂、口舌歪斜、语言謇涩或不语、偏身麻木为主要临床表现的西医脑卒中统归为类中风进行研究运用类中风组与中风组临床症状体征对照的研究方法,采用美国SAS统计分析软件,对2206例调研资料进行logistic回归分析等多因素分析参考回归结果,并结合临床实际、文献调查、专家经验,从而确定了类中风的主症为眩晕,身体感觉障碍,剧烈头痛,视物异常,不随意运动,精神障碍,癫痫样发作,失认失读失写等为类中风的进一步研究奠定了基础

Results The negative correlations were found on the Glasgow Outcome Scoreto the items such as conscious state at admission,Glasgow Coma Score,psychiatric symptoms,hemiplegia,Babinski sign,abnomal degree of Electroencephalogram,focal lesions found by neuro-image investigation and mean peak flow velocityand pulsatility indexof basilar artery and vertebral arteries by transcranial Doppler ultrasonography investigation;The non-correlation was found on the Glasgow Outcome Score to theitems such as headache,febrile,epilepˉsia style,the involvement of cranial nerve,dystaxia,neck stiffness,Cerebrospinal fluid investigation and blood serum enzymology.

结果 入院时的意识状态、GCS、精神症状、偏瘫和/或偏身感觉障碍、巴彬斯基征以及脑电图异常程度、影像学所见的病灶范围、基底动脉和椎动脉的平均峰流速、脉动指数和Glasgow预后评分呈负相关;头痛、发热、癫痫类型、颅神经受累情况、共济运动、脑膜刺激征、脑脊液检查(含压力、蛋白定量、细胞数、HSV-PCR)以及血清酶学的变化和Glasgow预后评分之间无相关性。结论入院时的意识状态、GCS、精神症状、局灶性神经系统体征以及脑电图异常程度、影像学所见的病灶范围、后循环的血管痉挛程度和血流阻力等是影响病脑预后的主要因素。

Results The negative correlations were found on the Glasgow Outcome Scoreto the items such as conscious state at admission,Glasgow Coma Score,psychiatric symptoms,hemiplegia,Babinski sign,abnomal degree of Electroencephalogram,focal lesions found by neuro-image investigation and mean peak flow velocityand pulsatility indexof basilar artery and vertebral arteries by transcranial Doppler ultrasonography investigation;The non-correlation was found on the Glasgow Outcome Score to theitems such as headache,febrile,epilepˉsia style,the involvement of cranial nerve,dystaxia,neck stiffness,Cerebrospinal fluid investigation and blood serum enzymology.

结果 入院时的意识状态、GCS、精神症状、偏瘫和/或偏身感觉障碍、巴彬斯基征以及脑电图异常程度、影像学所见的病灶范围、基底动脉和椎动脉的平均峰流速、脉动指数与Glasgow预后评分呈负相关;头痛、发热、癫痫类型、颅神经受累情况、共济运动、脑膜刺激征、脑脊液检查(含压力、蛋白定量、细胞数、HSV-PCR)以及血清酶学的变化与Glasgow预后评分之间无相关性。结论入院时的意识状态、GCS、精神症状、局灶性神经系统体征以及脑电图异常程度、影像学所见的病灶范围、后循环的血管痉挛程度和血流阻力等是影响病脑预后的主要因素。

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