Faraji Fardin, Ghasami Keyvan, Talaie-Zanjani Afsoon, Mohammadbeigi Abolfazl
Department of Neurology, Valiasr Hospital, Arak University of Medical Science, Arak, Iran.
Asian J Neurosurg. 2013 Apr;8(2):78-82. doi: 10.4103/1793-5482.116378.
Stroke is an acute vascular disease and the second leading cause of death in the world. We have assessed the patients on hospital admission with some other prognostic factors besides the preliminary neurological examinations in order to estimate their clinical status in the future.
The present study was performed on the patients admitted to Valiasr Hospital of Arak within 72 h of stroke onset from April to October 2011. Diagnosis of stroke in the suspected patients was done by a neurologist and verified by the findings of the computed tomography scans. For each patient, a specific questionnaire, which described its stroke severity according to canadian neurological scale of stroke (CNSS), was prepared in order to define the severity of the stroke. Systolic as well as diastolic blood pressure of the patients was measured at the admission and their level of blood sugar, cholesterol, and triglyceride was also determined.
Out of 62 patients under study (mean age, 66.14 ± 10.9 years), 36 (58.1%) were males and 26 (41.9%) were females. Overall, 66.1% of the patients were diagnosed with the ischemic stroke, while 33.9% were diagnosed with the hemorrhagic stroke. Regression analysis showed that cholesterol and diastolic blood pressure were the most important prognostic factors of the severity of stroke (CNSS).
Diastolic blood pressure and serum cholesterol level have the potential to be used for assessing the stroke outcome as well as to improve the stroke rehabilitation.
中风是一种急性血管疾病，是全球第二大死因。除了初步的神经系统检查外，我们还评估了入院患者的其他一些预后因素，以便估计他们未来的临床状况。
本研究对2011年4月至10月中风发作72小时内入住阿拉克瓦利亚斯尔医院的患者进行。疑似患者的中风诊断由神经科医生完成，并通过计算机断层扫描结果进行验证。为每位患者准备了一份根据加拿大中风神经量表（CNSS）描述其中风严重程度的特定问卷，以确定中风的严重程度。在入院时测量患者的收缩压和舒张压，并测定他们的血糖、胆固醇和甘油三酯水平。
在62名研究患者中（平均年龄66.14±10.9岁），36名（58.1%）为男性，26名（41.9%）为女性。总体而言，66.1%的患者被诊断为缺血性中风，而33.9%被诊断为出血性中风。回归分析表明，胆固醇和舒张压是中风严重程度（CNSS）最重要的预后因素。
舒张压和血清胆固醇水平有可能用于评估中风预后以及改善中风康复。
