糖尿病并发脑梗塞CT影像与预后分析  

CT Image and Prognosis Analysis of Diabetes Complicated with Cerebral Infarction

作　　者：陈琼花[1] 赖清泉[1] 辛馥娉 CHEN Qiong-hua;LAI Qing-quan;XIN Fu-ping(CT/MRI Room,the Second Affiliated Hospital of Fujian Medical University,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建医科大学附属第二医院CT/MRI室,福建泉州362000

出　　处：《糖尿病新世界》2020年第18期29-30,33,共3页Diabetes New World Magazine

摘　　要：目的于糖尿病合并脑梗塞患者中分析CT影像以及预后进行分析。方法于选2017年10月—2019年10月间来该院诊治的135例脑梗塞患者开展研究,以是否合并糖尿病分成对照组(单纯脑梗塞,90例)与研究组(糖尿病合并脑梗塞,45例),两组患者均进行CT诊断,并给予针对性治疗,总结两组预后,并对比两组入院时的空腹血糖水平。结果研究组梗塞面积、梗塞数目均大于对照组(P<0.05)。研究组患者的CT影像学显示均是缺血性病灶,部分累及双侧的大脑半球。腔隙性脑梗塞比较多见,呈类圆形、圆形点状的低密度影,且边缘模糊。大面积脑梗塞为形态不规则的片状低密度影,边缘模糊。不同方法治疗后,研究组治疗总有效率低于对照组(P<0.05)。研究组患者的空腹血糖水平高于对照组(P<0.05)。结论于糖尿病合并脑梗塞患者中,CT影像中大面积梗塞、多发性梗塞比较常见,患者病情比较严重,预后不佳。Objective To analyze CT images and prognosis in diabetic patients with cerebral infarction. Methods 135 patients with cerebral infarction who came to the hospital for diagnosis and treatment from October 2017 to October 2019 were selected for research, and divided into control group(simple cerebral infarction, 90 cases) and study group(diabetes with cerebral infarction, 45 cases). Both groups of patients were diagnosed by CT and given targeted treatment. The prognosis of the two groups was summarized and the fasting blood glucose levels of the two groups at admission were compared. Results The infarct size, number of infarcts, and large-area infarct rate in the study group were higher than those in the control group(P<0.05). CT imaging of the patients in the study group showed that they were all ischemic lesions,partly involving both cerebral hemispheres. Lacunar infarcts were more common, with low-density shadows like round,round dots and blurred edges. Large-area cerebral infarction was an irregular sheet-like low-density shadow with blurred edges. After different treatments, the total effective rate of treatment in the study group was lower than that in the control group(P <0.05). The fasting blood glucose level of the study group was higher than that of the control group(P <0.05).Conclusion Among diabetic patients with cerebral infarction, large-area infarction and multiple infarction are more common in CT images. The patient’s condition is more serious and the prognosis is poor.

关 键 词：脑梗塞 糖尿病 CT影响 预后 分析 

分 类 号：R445[医药卫生—影像医学与核医学]