WANGXiang-ming , ZHANGYue-hui , ZHANCheng , LINWen
  • Department of Neurology, Central Hospital of Panzhihua, Panzhihua, Sichuan 617023, P. R. China;
Cerebral shock; Intracerebral heorrhage; Prognosis
10.7507/1002-0179.20140067
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Objective To analyze the clinical characteristics of cerebral shock after intracerebral emorrhage (ICH) to enhance the understanding of cerebral shock after ICH. Methods A total of 136 patients with ICH admitted to hospital from February 2010 to December 2011 were enrolled in this study.Barthel index (BI) and NIH Stroke Scale (NIHSS) were finished within 48 hours.All the patients were divided into cerebral shock group and no cerebral shock group.All of the 136 patients were matched to shock group (39 cases) and no shock group (39 cases) by the baseline NIHSS score.After 6 months,we judged the prognosis of stroke patient by mRS and compared the prognosis between the two groups. Results In 136 patients,95 had cerebral shock (69.85%),and 41 didn't.The NIHSS score in the shock group was higher than that in the no shock group,but the BI score was lower in the shock group.Six months later,2 patients died in shock group,in which lost follow up was in 1,good prognosis in 11,and poor prognosis in 25.In no shock group,1 patient died,2 were lost of follow up,and the prognosis was good in 29 and poor in 7.The prognosis in the shock group was poorer than that in the no shock group. Conclusion There are neurological deficit symptoms and poor self-care ability in ICH patients associated with brain shock.The period of brain shock impact the prognosis of the patients with cerebral hemorrhage;early functional rehabilitation for stroke patients with brain shock is expected to improve the prognosis of patients with cerebral stroke.

Citation： WANGXiang-ming, ZHANGYue-hui, ZHANCheng, LINWen. Clinical Study on Cerebral Shock after Intracerebral Emorrhage. West China Medical Journal, 2014, 29(2): 217-218. doi: 10.7507/1002-0179.20140067 Copy

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