脑梗死亚急性期采用弥散张量成像对预后康复的检测价值

Value of Diffusion Tensor Imaging in the Detection of Prognosis and Rehabilitation in the Subacute Cerebral Infarction

目的:分析脑梗死亚急性期患者采用弥散张量成像(DTI)对预后康复的检测价值。方法:选取2020年3月至2020年10月深圳市大鹏新区南澳人民医院收治的96例脑梗死亚急性期患者作为研究对象,根据患者治疗情况进行分组,治愈的52例患者分为甲组,病情改善的32例患者分为乙组,病情无明显改善的12例患者分为丙组。三组患者皆接受DTI技术检测,比较三组患者的检查结果。结果:三组患者患侧DTI技术检查结果比较,在平均扩散系数(DCavg)与衰减指数(Exat)上,甲组低于乙组、丙组,乙组优于丙组,差异均具有统计学意义(P<0.05);在部分各向异性(FA)与容积比各向异性(VRA)上,甲组高于乙组、丙组,乙组优于丙组,差异均具有统计学意义(P<0.05)。三组患者健侧的所有DTI技术检查指标比较,差异均无统计学意义(P>0.05)。结论:DTI技术用于脑梗死亚急性期的检测效果理想,能够准确评估患者的预后康复情况。

Objective To analyze the value of diffusion tensor imaging (DTI) for prognostic rehabilitation of cerebral infarction in the subacute phase.Methods 96 patients with subacute cerebral infarction in Dapeng New District Nan’ao People’s Hospital of Shenzhen from March 2020 to October 2020 were selected as the research objects,all of them were divided into groups according to the treatment.52 cured patients were classified as group A,and 32 patients with improved condition were classified as group B.Twelve patients with significant improvement were classified as group C,and all study subjects were selected from January 2018 to January 2020.All three groups of patients were tested by DTI technology,and the examination conditions of the three groups of patients were compared and analyzed.Results DTI technology detects the affected side and found that on DCavg and Exat,group A is lower than group B and C,group B is better than group C (P < 0.05);on FA and VRA,group A is higher than group B and group C,and group B is better Group C (P < 0.05).DTI technology detected the healthy side and found that there was little difference between the three groups on DCavg,FA,VRA and Exat (P > 0.05).Conclusion The DTI technique has ideal effects in the subacute phase of cerebral infarction,can accurately assess the prognosis and rehabilitation of patients,and can be further promoted in clinical practice.