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目的探讨缺血性脑卒中患者TOAST分型和M-TOAST分型在临床中的应用价值。方法对入选的224例缺血性脑卒中患者于入院时和出院时分别进行TOAST和M-TOAST分型。结果入院时在TOAST分型中大动脉粥样硬化(31.2%),原因不明卒中(28.1%);M-TOAST分型中动脉粥样硬化性血栓形成(40.6%),不明原因脑卒中(18.7%)。出院时再次分型,TOAST分型一致率为83.9%,M-TOAST分型一致率91.5%。结论两种分型均有较高的一致性,M-TOAST分型更可准确地反映病因。
Objective To investigate the clinical value of TOAST classification and M-TOAST classification in patients with ischemic stroke. Methods Totally 224 ischemic stroke patients were classified into TOAST and M-TOAST on admission and on discharge. Results The incidence of atherosclerotic lesions in the TOAST classification (31.2%) and unexplained stroke (28.1%) at admission; atherothrombosis (40.6%) in M-TOAST classification, unexplained stroke (18.7% ). When they were discharged from the hospital, they were subdivided again. The consistency rate of TOAST classification was 83.9% and that of M-TOAST classification was 91.5%. Conclusion Both types have higher consistency, M-TOAST classification can more accurately reflect the cause.