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Multiple regression analysis of the influencing factors of acute terminal neurological deficit in patients with cerebral infarction |
LI Huajian CHEN Haiyun HE Chaoming LIN Min PANG Mingwu GAO Weiyi |
Department of Neurology, the Third People′s Hospital of Hainan, Hainan Province, Haikou 572000, China |
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Abstract Objective To analyze the influencing factors of patients with acute cerebral infarction and the degree of neurological deficits. Methods A retrospective analysis was performed on 68 patients with acute cerebral infarction admitted to the Department of Neurology, the Third People′s Hospital of Hainan from August 2015 to August 2016. The general data, intracranial pressure, cerebral perfusion pressure, infarct volume, laboratory index, previous history score and time from onset to admission of all patients were collected, and the correlation between each index and the neurological functional deficit scale (NFDS) score were analyzed. Results In patients with acute cerebral infarction, the levels of intracranial pressure, lesion volume, total cholesterol, triacylglycerol, fibrinogen, past history score, and time from onset to admission were positively correlated with NFDS score (rs > 0, P < 0.05). The size of the lesion, the time from onset to admission, and total cholesterol were influencing factors for the NFDS score (P < 0.05). Conclusion Factors such as lesion volume, total cholesterol, and the time from onset to admission are related to the prognosis of patients with cerebral infarction at the end of the acute phase. Accurately grasping the relevant influencing factors and timely intervention are essential to improve the patients′ neurological deficit.
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