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目的:探讨核磁共振成像(MRI)对急性脑梗死合并糖尿病患者颈动脉粥样硬化斑块稳定性的评估价值。方法:选取2013年5月-2015年5月在我院接受治疗的83例糖尿病合并急性脑梗死患者作为研究组,另选择单纯急性脑梗死患者61例作为对照组。两组患者均采用MRI评估颈动脉血管及斑块稳定性,并分析影响颈动脉斑块稳定性的危险因素。结果:研究组患者颈动脉粥样硬化易损斑块的发生率高于对照组,差异具有统计学意义(P<0.05);研究组患者斑块最大厚度明显高于对照组,差异具有统计学意义(P<0.05);两组患者血管总面积、血管壁面积、血管腔面积及血管壁标准化指数比较,差异均无统计学意义(P>0.05)。性别、糖尿病以及饮酒是影响急性脑梗死患者颈动脉斑块稳定性的独立危险因素(P<0.05)。结论:MRI能够有效评估急性脑梗死患者颈动脉粥样硬化斑块的稳定性,有利于临床诊断以及确定治疗方案,值得推广应用。
Objective: To evaluate the value of magnetic resonance imaging (MRI) in assessing the stability of carotid atherosclerotic plaque in patients with acute cerebral infarction complicated with diabetes mellitus. Methods: 83 patients with diabetes mellitus complicated with acute cerebral infarction treated in our hospital from May 2013 to May 2015 were selected as the study group. Another 61 patients with acute cerebral infarction were selected as the control group. MRI and MRI were used to evaluate the stability of carotid artery and plaque in both groups, and the risk factors affecting the plaque stability were analyzed. Results: The incidence of carotid atherosclerosis plaque in study group was higher than that in control group (P <0.05). The maximum thickness of plaque in study group was significantly higher than that of control group, the difference was statistically significant (P <0.05). There was no significant difference between the two groups in the total area of blood vessels, the area of vessel wall, the area of vessel lumen and the normalization index of vessel wall (P> 0.05). Gender, diabetes and alcohol consumption were independent risk factors for carotid plaque stability in patients with acute cerebral infarction (P <0.05). Conclusion: MRI can effectively assess the stability of carotid atherosclerotic plaques in patients with acute cerebral infarction, which is helpful for clinical diagnosis and treatment, which is worthy of popularization and application.