急性脑梗死OCSP分型及Adams分型与心电图异常的对比研究.doc

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1、急性脑梗死OCSP分型及Adams分型与心电图异常的对比研究作者：阮永龙，李飞，付恩鸿，王锋【摘要】目的探讨急性脑梗死OCSP分型和Adams分型与心电图异常之间关系。方法216例急性脑梗死根据OCSP和Adams分型分别分为4个亚型，前者为TACI、PACI、POCI和LACI；后者分为阴性组、腔梗组、小梗死组和大梗死组。然后观察每个亚型与心电图异常之间的关系。结果在OCSP分型中，TACI、PACI、POCI和LACI的心电图异常率分别是：95.45%、80.35%、62.50%和48.54%；在Adams分型中大梗死组、小梗死组、腔梗组和阴性组的心电图异常率分别是：83.72%、

2、60.42%、53.23%和20%。OCSP和Adams分型各亚型的心电图异常率、ST-T改变和心律失常发生率差异有显著性（P＜0.05～0.01）。两种分型各对应亚组在心电图异常率、各类型心电图异常发生率差异无显著性。结论从心电图异常的发生比例说明：脑梗死时OCSP和Adams各亚型存在严重程度和预后的不同，OCSP和Adams分型在临床上具有同等重要作用。【关键词】急性脑梗死，心电图，分型StudyoncomparisiontheclassificationofOCSPandtheclassificationofadamsinacutecerebroinfarctionwithel

3、ectrocardiographicabnormalities【Abstract】ObjectiveToevaluatetherelationshipbetweenclassificationofOCSPandtheclassificationofAdamsinacutecerebroinfarctionwithelectrocardiographic（ECG）abnormalities.Methods216patientswithacutecerebroinfarctionwereclassifiedintofoursubtypesaccordingtothegroupofOCSPa

4、ndthegroupofAdamsseperately.ThefoursubtypesofOCSPincludeTACI、PACI、POCIandLACI.ThefoursubtypesofAdamsincludenoinfarction，lacunarinfarction、smallinfarctionandlargeinfarction.TherelationshipbetweeneachoffoursubtypesandECGabnormalitieswasevaluated.ResultsTheratesofECGabnormalitiesingroupofOCSPwere95

5、.45%forTACI、80.35%forPACI、62.50%forPOCIand48.54%forLACI.TheratesofECGabnormalitiesingroupofAdamswere83.72%forlargeinfarction，60.42%forsmallinfarction，53.2%forlacunarinfarctionand20%fornoinfarction.TheratesofECGabnormalitiesweresignificantlydifferentamongthefoursubtypesforbothOCSPandAdamsclassifi

6、cation.Particularly,ST-Tchangesandarrhythmiasweresignificantlydifferent.RatesofECGabnormalitiesandthetypesofECGabnormalitiesinthecorrespondingsubtypesbetweenOCSPandAdams5classificationswerenotsignificantlydifferent.ConclusionTheseresultsshowedthatsubtypesofthetwoclassificationdemonstratethediffe

7、rencesinseverityandprognosisofinfarction.TheclassificationsofOCSPandAdamsbothplayaveryimportantroleinclinicalapplcation.【Keywords】acutecerebroinfarction;electrocardiogram;classification急性脑梗死易产生继发性心电图变化。病情轻重、梗死部位、梗死面积的大小均影响心电