| 陈涓,刘银红,周诚.糖尿病组与非糖尿病组超急性期脑梗死的多层螺旋CT灌注与临床评分相关性的分析[J].中国医学影像技术,2004,20(7):1021~1023 |
| 糖尿病组与非糖尿病组超急性期脑梗死的多层螺旋CT灌注与临床评分相关性的分析 |
| Correlation between multislice CT perfusion and NIHSS of diabetic and non-diabetic patients with superacute stroke |
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| DOI： |
| 中文关键词: 体层摄影术,X线计算机 灌注 脑缺血 糖尿病 |
| 英文关键词:Tomography, X-ray computed Perfusion Ischemic stroke Diabetes |
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| 中文摘要: |
| 目的 分析糖尿病组与非糖尿病组超急性期脑梗死的MSCT灌注结果与NIHSS评分的关系。方法 糖尿病与非糖尿病组超急性期脑梗死患者各25人,分别行MSCT灌注成像及NIHSS评分,比较影像学表现与临床评分的关系。结果 两组病例MSCT灌注结果与临床评分均有显著性差异;非糖尿病组半暗带面积与神经功能恢复有相关性。结论 糖尿病组超急性期脑梗死患者的影像及临床表现重,预后差。 |
| 英文摘要: |
| Objective To analyze the relationship between multislice CT (MSCT) perfusion and NIHSS of diabetic and non-diabetic patients with superacute stroke and in clinical outcome. Methods Twenty-five diabetic patients and 25 non-diabetic patients with superacute ischemic stroke were performed MSCT perfusion within 6 hours of onset. Initial MSCT perfusion studies were compared with follow-up studies a month later. Each patient's clinical condition was defined by NIHSS. Correlation of MSCT perfusion with the clinical condition was studied. Results The larger stroke volume was found more in diabetic patients than in non-diabetic patients. Both NIHSS of diabetic patients which were evaluated on admission and after a month were higher than those of non-diabetic patients. There was a correlation between perfusion parameter and improvement of NIHSS in non-diabetic patients, but not in diabetic patients. Conclusion Compared with non-diabetic patients, diabetic subjects contribute to severe stroke. Stroke patients with diabetes have poor clinical outcome. |
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