首页|CT征象生化指标联合对自发性脑出血早期血肿增大预测作用的研究

CT征象生化指标联合对自发性脑出血早期血肿增大预测作用的研究

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目的 研究生化指标+平扫CT(NCCT)预测自发性脑出血(ICH)早期血肿增大(HE)的价值.方法 通过回顾性分析法选择2020年8月至2022年4月我院收住的95例ICH患者进行观察,收集整理其临床资料,将其中发生HE的22例患者纳入合并组,另73例未发生HE的患者纳入单纯组.观察所有患者的基线血肿量及NCCT复查的HE结果,分析生化指标联合NCCT征象对ICH患者早期HE的预测作用.结果 生化指标+NCCT征象的敏感度、特异度分别为97.69、98.12%,AUC为0.963,说明联合预测的敏感度、特异度及AUC高于单一项.结论 血钙、hs-CRP、血糖联合CT征象在预测ICH患者发生HE上意义重大,能够提升整体预测效能,值得临床推广使用.
The Effect of CT Signs on Predicting Hematoma Enlargement in Spontaneous Cerebral Hemorrhage
Objective The value of graduate chemistry index+plain CT(NCCT)to predict the early hematoma enlargement(HE)of spontaneous cerebral hemorrhage(ICH).Methods Ninety-five ICH patients admitted to our hospital from August 2020 to April 2022 were selected for observation by retrospective analysis method,and their clinical data were collected and collated,and 22 of them who developed HE were included in the combined group,and the other 73 patients who did not develop HE were included in the simple group.The baseline haematoma volume and HE results of NCCT review were observed in all patients,and the predictive role of biochemical indexes combined with NCCT signs on early HE in ICH patients was analysed.Results The sensitivity and specificity of biochemical indexes+NCCT signs were 97.69 and 98.12%,respectively,and the AUC was 0.963,indicating that the sensitivity,specificity and AUC of the combined prediction were higher than that of the single one.Conclusion The combination of blood calcium,hs-CRP and blood glucose with CT sign is of great significance in predicting HE in ICH patients,which can improve the overall prediction efficacy and is worthy of clinical use.

Spontaneous Cerebral HemorrhageCT ExaminationHematoma EnlargementHigh Sensitive C Reactive ProteinBlood Glucose

牛绍南、张状、刘勇、丁波、张英霞

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秦皇岛市第二医院医学影像科(河北秦皇岛 066600)

自发性脑出血 CT检查 血肿增大 高敏C反应蛋白 血糖

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(12)