脑小血管病MRI特征与脑梗死发生的关系研究

Relationship between MRI Features of Cerebral Small Vessel Disease and the Occurrence of Cerebral Infarction

目的探究脑小血管病磁共振成像(MRI)特征与脑梗死发生的关系。方法回顾性分析2020年1月~2023年1月本院收治的104例脑小血管病患者一般资料及MRI影像学资料,并依据患者是否出现脑梗死进行分组,其中65例患者未出现脑梗死纳入为未脑梗死组,39例患者纳入为脑梗死组。比较两组一般资料及MRI影像学资料并采用多因素Logistic回归分析脑小血管MRI特征与脑梗死发生的关系。结果两组患者年龄、高血压情况、腔隙性脑梗死、脑白质病变、脑微出血及脑萎缩情况存在显著差异(P<0.05)。多因素Logistic回归分析结果显示,年龄、高血压、腔隙性脑梗死、脑白质病变及脑微出血均为脑梗死发生的影响因素(P<0.05)。结论存在腔隙性脑梗死、脑白质病变及脑微出血等影像学特征的患者具有较高的脑梗死发病风险,此外患者年龄大、合并高血压同样为患者脑梗死的危险因素,临床应予以重视。

Objective To discuss the relationship between magnetic resonance imaging(MRI)features of cerebral small vessel disease and the occurrence of cerebral infarction.Methods The general data and MRI data of 104 patients with cerebral small vessel disease who were admitted to the hospital from January 2020 to January 2023 were analyzed retrospectively.Among them,65 patients without cerebral infarction were included in the non-cerebral infarction group,and 39 patients with cerebral infarction were included in the cerebral infarction group.General data and MRI data of the two groups were compared.The relationship between MRI features of cerebral small vessel disease and the occurrence of cerebral infarction was analyzed.Results There were significant differences in age,hypertension,lacunar infarction,leukodystrophy,cerebral micrebleeds and encephalatrophy between the two groups(P<0.05).The results of multivariate logistic regression analysis showed that age,hypertension,lacunar infarction,leukodystrophy,and cerebral microbleeds were factors influencing the occurrence of cerebral infarction(P<0.05).Conclusion Patients with imaging features such as lacunar infarction,leukodystrophy and cerebral microbleeds have a higher risk of cerebral infarction.In addition,advanced age and hypertension are risk factors for cerebral infarction,which deserves attention in clinical practice.