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目的探讨OCSP分型结合侧支循环在急性脑梗死期病情和预后判断中的意义。方法将急性脑梗死患者204例按OCSP分型分4组,各组中以有无侧支循环再分组,评定其出、入院日常生活能力量表(ADL评分)并均行头颅磁共振检查。结果(1)OCSP分型与头颅MRI有高度一致性;(2)在OCSP各亚型中,完全前循环梗死(TACI)、部分前循环梗死(PACI)预后差,后循环梗死(POCI)、腔隙性梗死(LACI)预后较好;(3).在TACI及PACI亚型中,有侧支循环的预后较好,POCI及LACI亚型中侧支循环对预后影响不大。结论OCSP分型结合侧支循环可以初步预测急性脑梗死患者预后,指导治疗。
Objective To investigate the significance of OCSP typing combined with collateral circulation in the diagnosis and prognosis of acute cerebral infarction. Methods A total of 204 patients with acute cerebral infarction were divided into 4 groups according to OCSP classification. The groups were divided into groups according to whether they had collateral circulation or not, and their ADL score and ADL scores were evaluated. Results (1) There was a high degree of consistency between OCSP classification and cranial MRI. (2) Among the subtypes of OCSP, complete anterior circulation infarction (TACI), partial anterior circulation infarction (PACI) had poor prognosis, posterior circulation infarction The prognosis of lacunar infarction (LACI) is better. (3) The prognosis of collateral circulation is better in TACI and PACI subtypes, and the collateral circulation in POCI and LACI subtypes has little effect on prognosis. Conclusion OCSP typing combined with collateral circulation can be used to predict the prognosis of patients with acute cerebral infarction and to guide the treatment.