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[414例脑梗死和脑出血患者的3至6年随访研究]

[A 3 to 6-year follow-up study of 414 cases of cerebral infarction and cerebral hemorrhage].

作者信息

Chen Q T

出版信息

Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1989 Aug;22(4):202-4, 252.

PMID:2620587
Abstract

To study the long-term prognosis, we performed annual follow-up examinations on 414 patients who had survived cerebrovascular accidents, including 334 cases of cerebral infarction and 80 cases of cerebral hemorrhage. All patients had been admitted to the Neurological Service of our hospital from January 1, 1976 to December 31, 1980, and were followed up for 3-6 years. The life-table method, the log rank test, and the rank sum test were used to determine the cumulative marked improvement rate, the cumulative recovery rate of pathological reflexes, the cumulative survival rate, and the cumulative recurrence rate. The results revealed the marked improvement rate in cerebral infarction was 81.98%, while in cerebral hemorrhage 89.87% at the end of 3 years after discharge. The recovery rate of pathological reflexes was 52.59% in cerebral infarction, 54.75% in cerebral hemorrhage at the end of 4 years. The cumulative survival rate was 58.67% in cerebral infarction, 53.36% in cerebral hemorrhage at the end of 6 years. The cumulative recurrence rate was 49.39% in cerebral infarction, 49.81% in cerebral hemorrhage at the end of 6 years.

摘要

为研究长期预后,我们对414例脑血管意外存活患者进行了年度随访检查,其中包括334例脑梗死患者和80例脑出血患者。所有患者均于1976年1月1日至1980年12月31日入住我院神经科,并随访3至6年。采用寿命表法、对数秩检验和秩和检验来确定累积显著改善率、病理反射累积恢复率、累积生存率和累积复发率。结果显示,出院3年后,脑梗死的显著改善率为81.98%,脑出血为89.87%。4年后,脑梗死的病理反射恢复率为52.59%,脑出血为54.75%。6年后,脑梗死的累积生存率为58.67%,脑出血为53.36%。6年后,脑梗死的累积复发率为49.39%,脑出血为49.81%。

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