糖尿病性与非糖尿病性脑梗死CT诊断的临床特点分析  

Clinical Characteristics of CT Diagnosis of Diabetic and Non-diabetic Cerebral Infarction

作　　者：朱昱衡 李吉华 ZHU Yu-heng;LI Ji-hua(Department of Magnetic Resonance,the First People's Hospital of Qujing,Qujing,Yunnan Province,655000 China)

机构地区：[1]曲靖市第一人民医院磁共振科

出　　处：《糖尿病新世界》2019年第19期8-10,共3页Diabetes New World Magazine

摘　　要：目的分析糖尿病性与非糖尿病性脑梗死CT诊断的临床特点。方法选取该院于2015年12月—2018年12月期间收治的糖尿病性脑梗死患者46例设为观察组,选取同时期在该院接受治疗的非糖尿病性脑梗死患者46例设为对照组,两组患者在进入医院后均接受脑部CT检查和生化指标检测,观察两组患者的CT图像特点和各项生化指标变化情况。结果经过头颅CT检查,观察组患者的1个病灶率为10.87%、2个病灶率为23.91%、3个病灶率为65.22%,与对照组患者对比,差异有统计学意义(P<0.05);观察组患者的皮层下发病率为13.04%、基底节区发病率为78.26%、小脑发病率为0.00%,与对照组患者对比,差异有统计学意义(P<0.05);观察组患者的外囊区发病率为0.00%、脑干发病率为8.70%,与对照组患者对比,差异无统计学意义(P>0.05);观察组患者的总胆固醇为(4.97±0.49)mmol/L、甘油三酯为(1.98±0.20)mmol/L、高密度脂蛋白胆固醇为(0.63±0.06)mmol/L、纤维蛋白原为(4.19±0.42)g/L,与对照组患者对比,数据差异有统计学意义(P<0.05)。结论糖尿病患者更容易出现脑梗死,并且患者的发病率与血糖水平和血脂水平有着密切的关系。Objective To analyze the clinical features of CT diagnosis of diabetic and nondiabetic cerebral infarction.Methods Forty-six patients with diabetic cerebral infarction admitted to the hospital from December 2015 to December 2018 were enrolled in the observation group.46 patients with non-diabetic cerebral infarction who were treated in our hospital at the same time were selected as control group,both groups of patients received brain CT and biochemical indicators after entering the hospital,and observed the CT image characteristics and changes of various biochemical indicators in the two groups.Results After head CT examination,the incidence rate of a patient in the observation group was 10.87%,the rate of two lesions was 23.91%,and the rate of three lesions was 65.22%.Compared with the control group,the difference was statistically significant(P<0.05).The subcortical incidence rate was 13.04%in the observation group,78.26%in the basal ganglia,and 0.00%in the cerebellum.Compared with the control group,the difference was statistically significant(P<0.05).The incidence rate of the capsule area was 0.00%,and the incidence of brain stem was 8.70%.Compared with the control group,the difference was not statistically significant(P>0.05);the total cholesterol of the observation group was(4.97±0.49)mmol/L,glycerol ester was(1.98±0.20)mmol/L,the high-density lipoprotein cholesterol was(0.63±0.06)mmol/L,and the fibrinogen was(4.19±0.42)g/L.Compared with the control group,the difference was statistically significant(P<0.05).Conclusion Diabetic patients are more prone to cerebral infarction,and the incidence of patients is closely related to blood glucose levels and blood lipid levels.

关 键 词：糖尿病性 非糖尿病性 脑梗死 CT 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]