CT血管造影点征联合血钙检测在急性脑出血患者中的应用  

Application of CT angiography point sign combined with blood calcium detection in patients with acute cerebral hemorrhage

作　　者：圣磊[1] 马绪志 朱焜 Sheng Lei;Ma Xuzhi;Zhu Kun(Imane Center,Lu'an Hospital of Traditional Chinese Medicine,Luan 237006,Anhui,China)

机构地区：[1]六安市中医院影像中心,安徽六安237006

出　　处：《现代科学仪器》2022年第3期43-46,共4页Modern Scientific Instruments

摘　　要：目的:探讨CT血管造影点征联合血钙检测在急性脑出血患者预后评估中的应用。方法:选取92例急性脑出血患者分为预后良好组和预后不良组,分析干预前后各项指标的差异。结果:ACH患者的预后与性别、年龄、合并高脂血症或糖尿病、出血部位、首次CT血肿量无关,而与合并高血压、CTA点征、血清钙含量密切相关;CTA点征阳性和血钙含量降低均为影响CHF患者预后的独立危险因素;CTA点征及血钙含量水平二者联合预测ACH预后效能最高(Z=5.213,3.874;P<0.05)。结论:CTA点征和血钙含量水平对ACH患者预后具有一定的评估价值,但二者联合检测预测效能更高。Objective:To investigate the application of CT angiography point sign combined with blood calcium detection in the prognosis evaluation of patients with acute cerebral hemorrhage.Methods:A total of 92 patients with acute cerebral hemorrhage were selected and divided into a good prognosis group and a poor prognosis group,and the differences of various indicators before and after the intervention were analyzed.Results:The prognosis of ACH patients was not related to gender,age,concomitant hyperlipidemia or diabetes,bleeding site,hematoma volume on the first CT,but was closely related to concomitant hypertension,CTA spot sign,serum calcium content;positive CTA spot sign and serum calcium Decreased content was an independent risk factor affecting the prognosis of CHF patients;the combination of CTA point sign and serum calcium level had the highest performance in predicting the prognosis of ACH(Z=5.213,3.874;P<0.05).Conclusion:CTA point sign and blood calcium level have certain value in evaluating the prognosis of patients with ACH,but the combined detection of the two has higher predictive performance.

关 键 词：CT血管造影点征 血钙 急性脑出血 预后评估 

分 类 号：R74[医药卫生—神经病学与精神病学]