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缺血性脑卒中合并抑郁患者的MRI特征

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目的 分析缺血性脑卒中(IS)合并抑郁患者的MRI特征.方法 以2019年8月~2022年 12 月本院 94 例IS患者作为研究对象,将抑郁自评量表(SDS)≥53 分的 46 例作为研究组,SDS<53分的48例作为对照组.比较两组的MRI特征.结果 研究组的额叶、颞叶、基底节区的缺血比例均显著高于对照组,差异均有统计学意义(P<0.05);两组顶叶、枕叶、丘脑、内囊、海马体的缺血比例比较,差异均无统计学意义(P>0.05).研究组额叶、颞叶、基底节区的表观扩散系数(ADC)值均高于对照组,差异均有统计学意义(P<0.05).结论 IS合并抑郁患者的额叶、颞叶、基底节区的缺血比例显著较高,临床可根据MRI相关参数,防治本病.
The features of MRI in ischemic stroke patients with depression
Objective To analyze MRI features in patients with ischemic stroke(IS)combined with depression.Methods Ninety-four cases of IS patients in our hospital from August 2019 to December 2022 were used as the study population.Forty-six cases with depression self-rating scale(SDS)≥53 were used as the study group,and 48 cases with SDS<53 were used as the control group.MRI characteristics of the two groups were compared.Results The pro-portion of ischemia in the frontal,temporal,and basal ganglia regions was significantly higher in the study group than in the control group(P<0.05).There were not statistically differences of ischemia in the parietal,occipital,thala-mus,internal capsule,and hippocampus between two groups(P>0.05).The apparent diffusion coefficient(ADC)values in the frontal,temporal,and basal ganglia regions were higher in the study group than those in the control group(P<0.05).Conclusion IS patients combined with depression have a significantly higher proportion of ischemias in the frontal,temporal,and basal ganglia regions,and the disease maybe can be prevented and treated clinically based on MRI-related parameters.

ISDepressionMRIADC Values

陈彦君、王同明、易慧洋、杨达

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河南省中医院/河南省中医药大学第二附属医院(郑州,450000)

IS 抑郁 MRI ADC值

河南省中医药科学研究专项课题

20-21ZY2112

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)