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对306例中风患者进行的1至4年随访研究。

A 1-4 year follow-up study of 306 cases of stroke.

作者信息

Chen Q T, Ling R

出版信息

Stroke. 1985 Mar-Apr;16(2):323-7. doi: 10.1161/01.str.16.2.323.

Abstract

To study the long-term prognosis of stroke, we performed annual follow-up examinations on 306 patients who had survived cerebrovascular accidents. All patients had been admitted to the Neurology Service, First Teaching Hospital, Beijing Medical College from January 1, 1976, to December 31, 1978, and were followed up for 1 to 4 years. The series included 217 cases of cerebral thrombosis, 54 of cerebral hemorrhage, and 35 of TIA. The life-table method was used to determine the cumulative survival rate (CSR), cumulative marked improvement rate (CMIR), and cumulative recurrence rate (CRR), for each of these three types of stroke. The main results were the following: 1. The prognosis was not significantly influenced by sex, BP level on admission, or type of cerebrovascular accident. 2. Age was an important prognostic factor. The survival rate decreased significantly in each successive age group. However, age was not a risk factor for recurrence or poor improvement. 3. The cumulative survival rate, cumulative marked improvement rate, and cumulative recurrence rate did not differ significantly among cerebral thrombosis, cerebral hemorrhage, and TIA.

摘要

为研究中风的长期预后,我们对306例脑血管意外幸存者进行了年度随访检查。所有患者于1976年1月1日至1978年12月31日入住北京医学院第一附属医院神经科,并随访了1至4年。该系列包括217例脑血栓形成、54例脑出血和35例短暂性脑缺血发作(TIA)。采用寿命表法确定这三种类型中风各自的累积生存率(CSR)、累积显著改善率(CMIR)和累积复发率(CRR)。主要结果如下:1. 预后不受性别、入院时血压水平或脑血管意外类型的显著影响。2. 年龄是一个重要的预后因素。每个连续年龄组的生存率均显著下降。然而,年龄不是复发或改善不佳的危险因素。3. 脑血栓形成、脑出血和TIA之间的累积生存率、累积显著改善率和累积复发率无显著差异。

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