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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Effect of Etiology and Topography of Lesion on Body Temperature at Stroke Onset
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Effect of Etiology and Topography of Lesion on Body Temperature at Stroke Onset

机译：病因和形貌病程对卒中展开体温的影响

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Background and purpose: Hyperthermia is a well-known factor for neurologic deterioration, morbidity, and mortality in the early phase of stroke. However, the timing, localization of lesion, origin of stroke, which may influence body temperature, have not been clearly established. Methods: The purpose of this study was to determine the relationship between body temperature and origin, lesion topography, and prognosis at 3 months after onset of stroke. Axillary temperature was taken every hour for 72 hours in 473 patients with supra- or infratentorial cerebral vascular lesion. The time at which hyperthermia (>38degC) appeared was evaluated by logistic regression analyses regarding to stroke origin and lesion localization. The correlation between body temperature and stroke outcome was quantified by Barthel index and American Heart Association Stroke Outcome Classification by recording in each 12- hour interval from stroke onset during 72 hours and after 3 months. Results: The body temperature was higher in patients with large-artery atherosclerosis (odds ratio [OR], 3.98; 95% confidence interval [CI] = 2.16-8.97; P = .001) and hemorrhagic stroke (OR = 2.05, 95% CI = 1.07-8.68, P = .001) than those with small-artery disease. In patients with posterior circulation infarct, the body temperature was higher than those with anterior circulation infarct (OR = 3.71,95% CI = 2.07-6.67, P = .001), whereas there was no difference between patients with infratentorial hemorrhage and those with supratentorial hemorrhage (OR = 1.04, 95% CI = 0.75-1.43, P = .80). High body temperature at 24 hours of stroke onset (OR = 2.17, 95% CI = 2.09-7.57, P = .001) and 48 hours (OR = 1.27, 95% CI = 1.06-4.84, P - .02) was correlated with poor outcome and mortality. Conclusion: An association between hyperthermia within 72 hours of ictus and stroke subtypes was observed among patients with ischemic and hemorrhagic stroke. Hyperthermic patients with total anterior circulation infarct, posterior circulation infarct, and supratentorial hemorrhage were associated with a marked increase of 3-months' mortality. Large-artery atherosclerosis, cardioembolism, and supra-infratentorial hemorrhage associated with hyperthermia may increase the severity of neurologic deficits.
机译：背景和目的：热疗是神经系统恶化，发病率和早期中风早期死亡率的着名因素。然而，损伤的时序，病变的定位，中风起源，可能影响体温，尚未明确建立。方法：本研究的目的是在卒中发作后3个月确定体温和原产地，病变形貌和预后之间的关系。在473名患者中，每小时服用腋生温度，在473名患者中每小时72小时，患者血管血管病变。通过关于卒中起源和病变定位的逻辑回归分析来评估热疗（> 38DEGC）的时间。通过在72小时和3个月后从中风发作中记录每12小时间隔，通过将体温和中风结果与美国心脏协会中风结果进行量化。结果：大动脉动脉粥样硬化患者的体温较高（差距[或]，3.98; 95％置信区间[CI] = 2.16-8.97; p = .001）和出血性卒中（或= 2.05，95％ CI = 1.07-8.68，p = .001）比具有小动脉疾病的疾病。在循环梗塞梗死患者中，体温高于前循环梗塞（或= 3.71,95％CI = 2.07-6.67，P = .001），而Infratente出血的患者没有差异超级出血（或= 1.04,95％CI = 0.75-1.43，P = .80）。 24小时的中风发作（或= 2.17,95％CI = 2.09-7.57，P = .001）和48小时（或= 1.27,95％CI = 1.06-4.84，P - .02）的高体温进行相关结果差和死亡率差。结论：在缺血性和出血性中风的患者中观察到高温血管和中风亚型中的热疗与中风亚型之间的关联。高温患者总前循环梗塞，后循环梗塞和超级出血与3个月的死亡率增加有关。大动脉动脉粥样硬化，心脏栓塞和与热疗相关的Supra-Infratentorial出血可能会增加神经系统缺陷的严重程度。

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