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为探讨卒中后自主神经障碍的特点及其相关因素,选取卒中病人100例(脑梗塞60例,脑出血40例)对其自主神经症状分5项(即体温升高、瞳孔不等大、消化道出血、血糖升高及心电图(异常)进行对照分析,结果发现:中线结构移位者其自主神经症状发生率明显高于无移位者;双侧卒中自主神经症状发生率明显高于单侧者,而右侧卒中心电图(ECG)异常发生率显著高于左侧;皮层下卒中各项自主神经症状发生率均高于皮层卒中,但以消化道出血、血糖升高及ECG异常为显著;脑出血自主神经障碍发生率显著高于脑梗塞;老年卒中各项自主神经症状发生率均高于非老年,但以消化道出血、血糖升高与ECG异常为显著。自主神经障碍与中线结构损害有关;中线结构移位、双侧卒中、皮层下卒中、脑出血及老年人更易发生自主神经障碍;右侧卒中较左侧更易发生ECG异常。
In order to explore the characteristics of autonomic dysfunction after stroke and its related factors, select stroke patients 100 cases (60 cases of cerebral infarction, 40 cases of cerebral hemorrhage) autonomic symptoms were divided into 5 items (ie, elevated body temperature, pupil unequal, digestion Hemorrhage, hyperglycemia and electrocardiogram (abnormalities) were analyzed. The results showed that the incidence of autonomic neurological symptoms in patients with midline structural displacement was significantly higher than those without displacement; the incidence of bilateral autonomic neurological symptoms was significantly higher than that in unilateral The incidence of ECG abnormalities in the right stroke was significantly higher than that in the left. The incidence of autonomic symptoms in subcortical stroke was higher than that in cortical stroke, but the incidence of gastrointestinal bleeding, hyperglycemia and ECG abnormalities were significant. The incidence of autonomic dysfunction in patients with cerebral hemorrhage was significantly higher than that in patients with cerebral infarction.The incidence of autonomic neurological symptoms in elderly patients with stroke was higher than that in non-elderly patients, but the gastrointestinal bleeding, hyperglycemia and ECG abnormalities were significant. Related; central structure shift, bilateral stroke, subcortical stroke, cerebral hemorrhage and autonomic disorders more prone to the elderly; right stroke more easily than the left Raw ECG abnormalities.