头颅核磁共振在脑血管性痴呆中的应用价值分析  

Application Value Analysis of Cranial Nuclear Magnetic Resonance in Cerebrovascular Dementia

作　　者：刘志伟 王艳[2] 刘志强 黄明霞 LIU Zhiwei;WANG Yan;LIU Zhiqiang;HUANG Mingxia(Imaging Center,Shouguang Hospital of Traditional Chinese Medicine,Weifang,Shandong Province,262700 China;Imaging Center,Shouguang People's Hospital,Weifang,Shandong Province,262700 China;Equipment Department,Shouguang People's Hospital,Weifang,Shandong Province,262700 China)

机构地区：[1]寿光市中医医院影像中心,山东潍坊262700 [2]寿光市人民医院影像中心,山东潍坊262700 [3]寿光市人民医院设备科,山东潍坊262700

出　　处：《世界复合医学》2023年第5期55-58,共4页World Journal of Complex Medicine

摘　　要：目的 分析头颅核磁共振在脑血管性痴呆中的临床应用价值。方法 选取2020年1月—2021年12月期间寿光市中医医院收治的脑血管性痴呆患者45例、阿尔茨海默病患者45例和同期接受健康体检的正常人45例,分别作为观察1组、观察2组和对照组。施以头颅核磁共振检查,记录3组受检群众的左、右两侧和总海马体积,同时比对颞叶沟回间距与大脑左右径的比值。结果 对照组左侧海马体积为(2.59±0.25)cm^(3)、右侧海马体积为(3.04±0.23)cm^(3)、海马总体积为(5.23±0.32)cm^(3),观察1组的分别为(2.38±0.26)、(2.61±0.21)、(5.69±0.39)cm^(3),观察2组的分别为(1.88±0.21)、(1.86±0.23)、(5.19±0.24)cm^(3),3组相比,差异有统计学意义(F=103.097、321.184、33.393,P<0.05),且观察1组高于观察2组,差异有统计学意义(P<0.05)。观察1组、观察2组与对照组颞叶沟回间距与大脑左右径比值相比,差异有统计学意义(P<0.05),且观察1组颞叶沟回间距、颞叶沟回间距与大脑左右径的比值低于观察2组,大脑左右径高于观察2组,差异有统计学意义(P<0.05)。结论 头颅核磁共振检查能了解脑血管性痴呆、阿尔茨海默病的不同,方便临床医师对疾病进行鉴别,并能够掌握患者的病情,为后续治疗提供参考。Objective To analyze the clinical application value of cranial MRI in cerebrovascular dementia.Methods 45 cases of cerebrovascular dementia,45 cases of Alzheimer's disease treated in Shouguang Hospital of Traditional Chinese Medicine from January 2020 to December2021 and 45 normal people who underwent physical examination during the same period were selected as observation group 1,observation group 2 and control group,respectively.The left and right sides and total hippocampal volume of the three groups were recorded by brain MRI,and the ratio of temporal furrow spacing to brain diameter was compared.Results In the control group,the volume of left hippocampus was (2.59±0.25) cm^(3),the volume of right hippocampus was (3.04±0.23) cm^(3),and the total volume of hippocampus was (5.23±0.32) cm^(3).Observation group 1 was (2.38±0.26) cm^(3),(2.61±0.21) cm^(3),(5.69±0.39) cm^(3),and observation group 2 was (1.88±0.21) cm^(3),(1.86±0.23) cm^(3),(5.19±0.24) cm^(3),respectively.After comparing the three groups,the difference was statistically significant (F=103.097,321.184,33.393,P<0.05),and observation group 1 was higher than observation group 2,the difference was statistically significant (P<0.05).Compared with the control group,observation group 1,observation group 2 in the ratio of temporal furrow spacing and temporal furrow spacing to the left and right diameter of the brain,the difference was statistically significant(P<0.05),and observation group 1 had lower temporal furrow spacing and the ratio of temporal furrow spacing to the left and right diameter of the brain,and observation group 1 had higher cerebral left and right diameter than observation group 2,the difference was statistically significant (P<0.05).Conclusion Brain magnetic resonance examination can understand the difference between cerebrovascular dementia and Alzheimer's disease,facilitate clinicians to identify the disease,and can grasp the patient's condition,provide reference for follow-up treatment,which is worthy of preference.

关 键 词：脑血管性痴呆 头颅核磁共振 临床应用价值 

分 类 号：R749[医药卫生—神经病学与精神病学]