急性脑梗死合并脑微出血的相关危险因素探讨

Study on Related Risk Factors of Acute Cerebral Infarction Combined with Cerebral Microbleed

目的探析急性脑梗死合并脑微出血的相关危险因素。方法随机选择2014年1—12月期间该院收治的50例急性脑梗死患者为研究对象,分别对患者进行常规磁共振显像(MRI)和磁敏感技术显像(SWI)扫描,回顾性分析其临床资料。结果该组的50例急性脑梗死患者中,30例并发脑微出血,占60%,其余20例没有合并脑微出血,占40%;同时,观察组和对照组的平均年龄分别为(73.5±4.1)岁、(64.9±5.4)岁,且对照组的高血压发生率为30%,而观察组的为80%,比较差异有统计学意义(P<0.05)。结论急性脑梗死合并脑微出血的发病部位多位于丘脑,其发生与高血压、年龄有关。

Objective To discuss and analyze the related risk factors of acute cerebral infarction combined with cerebral microbleed. Methods 50 cases of patients with acute cerebral infarction admitted and treated in our hospital from January 2014 to December 2014 were selected as the research object and were respectively given conventional magnetic resonance imaging and？susceptibility weighted imaging scan, the clinical data were retrospectively analyzed. Results In this group, 30 cases were complicated by cerebral microbleed, accounting for 60%, the other 20 cases were not complicated by cerebral microbleed, accounting for 40%, at the same time, the average age was （73.5±4.1） in the observation group and （64.9±5.4） in the control group, and the incidence rate of hypeension was 30% in the control group and 80% in the observation group, and the difference was obvious by comparison （P〈0.05）. Conclusion The pathogenic site of acute cerebral infarction com- bined with cerebral microbleed mostly in the cerebral ganglia, and its occurrence is related to the hypertension and age.