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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Locomotion Outcome in Hemiplegic Patients with Middle Cerebral Artery Infarction: The Difference Between Right- and Left-Sided Lesions
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Locomotion Outcome in Hemiplegic Patients with Middle Cerebral Artery Infarction: The Difference Between Right- and Left-Sided Lesions

机译：脑卒中偏瘫偏瘫患者的运动结局：左右病变的差异

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Objective: This study was performed to analyze the locomotion outcome of hemiplegic patients with stroke and to explore the factors influencing it. Methods: A total of 247 patients (mean age 65.6 +- 10.5 years) admitted to our hospital for rehabilitation were included in the study. Their cardinal neurologic sign wds hemiplegia caused by infarction in the middle cerebral artery as a result of a first stroke. When rehabilitation programs were completed, the final motor outcome was evaluated and compared between patients with right and left hemispheric infarct. In addition, the following items were analyzed: size, location, arid subtype of the infarct; herriispatial neglect and aphasia; cerebral blood flow (CBF); and periventriciilar lucency on computed tomography scan. Results: (1) There was a negative relationship between the infarct size and the locomotion outcome. The difference in locomotion outcome was not significant between the patients with infarction of the perforating arteries and those of the cortical arteries. No significant difference in the locomotion outcome was found between the patients with an atherothrornbotic or cardioembolic infarction. (2) In spite of the existence of hemispatial neglect or aphasia, the patients with a right-sided infarction were significantly inferior to patients with a left-sided one in locomotion outcome, except for those with a large infarction. (3) In patients with infarction in the territory of the perforating arteries, there was a negative relationship between the area of decreased CBF or periventricular lucency and the locomotion outcome. When the area of decreased CBF on the homolateral hemisphere involving the infarction extended to less than or equal to two cerebral lobes, the locomotion outcome was significantly worse in the patients with a right-sided infarction. Conclusions: Overall, for the patients with middle cerebral artery infarction, the locomotion outcome was poorer in patients with a right hemispheric infarction than a ieft-sided ohe, except in thecase of a large infarction.
机译：目的：本研究旨在分析偏瘫脑卒中患者的运动结局，并探讨影响其的因素。方法：本研究共收治了我院收治的247例患者（平均年龄65.6±10.5岁）。他们的主要神经系统症状是由于第一次中风而导致的大脑中动脉梗塞引起的偏瘫。完成康复计划后，将评估最终的运动结局并在左右半球梗死患者之间进行比较。此外，分析了以下项目：梗塞的大小，位置，干旱亚型;腓肠肌忽视和失语症;脑血流量（CBF）;和计算机断层扫描的脑室透明性。结果：（1）梗死面积与运动结局之间呈负相关。穿孔动脉梗死患者和皮层动脉梗塞患者的运动结局差异不明显。在患有动脉粥样硬化性或心脏栓塞性梗塞的患者之间，运动结局无显着差异。 （2）尽管存在半pat漏或失语症，但右侧梗塞的患者在运动结局方面明显次于左侧梗塞的患者，但梗塞较大的患者除外。 （3）在穿孔动脉范围内有梗塞的患者，CBF降低或脑室周围透明性的面积与运动结果之间存在负相关关系。当涉及梗塞的同侧半球上CBF下降的区域扩展到小于或等于两个脑叶时，右侧梗塞患者的运动结局明显恶化。结论：总的来说，对于脑中动脉梗死患者，右半球梗死患者的运动结局要比同侧患儿差，但在大面积梗塞情况除外。

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