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脑梗死出血性转化的多层螺旋CT表现及相关危险因素分析

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目的 研究脑梗死出血性转化的多层螺旋CT表现并针对出血转化的相关危险因素进行分析。方法 选取2021年10月—2023年6月在本院接受治疗的脑梗死患者97例,根据是否出血将所有患者分为出血转化组(n=23)和非出血转化组(n=74)。本研究对所有患者均实施多层螺旋CT检查,分析CT诊断效能、影像学表现及脑梗死出血转化性危险因素。结果 多层螺旋CT在脑梗死出血性转化中的诊断敏感度为86。96%、特异度为86。49%、准确度为86。60%,阳性预测值为66。67%,阴性预测值为95。52%。脑梗死出血性转化组与非出血转化组患者在性别、BMI、缺血再灌注时间以及高血压、冠心病、糖尿病、高血脂、脑卒中史、吸烟构成比方面的差异不明显,无统计学意义(P>0。05);两组患者在年龄、NIHSS评分及梗死面积方面的差异显著,具有统计学意义(P<0。05)。多因素Logistic回归分析结果表明年龄、NIHSS评分及梗死面积为脑梗死出血性转化的危险因素(P<0。05),年龄>60岁患者、NIHSS评分≥21分及梗死面积≥40mm2可使脑梗死患者出血转化的风险升高。结论 多层螺旋CT在脑梗死出血性转化中的诊断效能较高,可为临床诊断脑梗死出血性转化提供指导,年龄、NIHSS及梗死面积为脑梗死出血性转化危险因素。
Multislice Spiral CT Manifestations and Related Risk Factors Analysis of Cerebral Infarction Hemorrhage Transformation
Objective To study multislice spiral CT manifestations of cerebral infarction bleeding transformation and analyze related risk factors of bleeding transformation.Methods The paper chose 97 patients with cerebral infarction in Liupanshui City People's Hospital from October 2021 to June 2023,treated with multi slice spiral CT examination.Diagnostic effect,imaging manifestations,and risk factors for cerebral infarction hemorrhage transformation were analyzed.Results Diagnostic sensitivity,specificity,and accuracy of multi-slice spiral CT during the transformation of cerebral infarction hemorrhage was 86.96%,86.49%,86.60%,66.67%,and 95.52%respectively.There was no significant difference in gender,BMI,ischemia-reperfusion time,hypertension,coronary heart disease,diabetes,hyperlipidemia,stroke history and smoking constituent ratio between cerebral infarction hemorrhage group and non hemorrhage transformation group(P>0.05),there was significant difference in age,NIHSS scores and infarct area between two groups(P<0.05).Results of multivariate logistic regression analysis showed,age,NIHSS scores,and infarct area were risk factors of cerebral infarction bleeding transformation(P<0.05).Patients over 60,NIHSS scores≥21 points,and infarct area≥40mm2 could increase risks of cerebral infarction bleeding transformation.Conclusion Multi slice spiral CT can achieve high diagnostic effect in transformation of cerebral infarction hemorrhage,can provide guidance for clinical diagnosis of cerebral infarction hemorrhage transformation.Age,NIHSS and infarct area are risk factors for cerebral infarction hemorrhage transformation.

Cerebral infarction bleeding transformationMultislice spiral CTDiagnostic effectRisk factors

吉学江

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六盘水市人民医院 影像科,贵州 六盘水 553000

脑梗死出血性转化 多层螺旋CT 诊断效能 危险因素

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(16)