自发性脑出血患者CT特殊征象与D-D水平及短期预后的关系

Relationship of CT Special Signs with D-D Level and Short-term Prognosis in Patients with Spontaneous Intracerebral Hemorrhage

目的:分析自发性脑出血(SICH)患者计算机体层扫描(CT)特殊征象与D-二聚体(D-D)水平及短期预后的关系。方法:选取2023年1—12月乐平市人民医院收治的80例SICH患者的资料,收集并比较两组的临床资料、非增强CT征象,根据短期预后情况,分为良好组与不良组,使用多因素logistic回归分析SICH患者短期预后不良的危险因素,并采用Spearman相关系数分析CT特殊征象与D-D水平的相关性。结果:不良组早期血肿扩大(HE)、卫星征、黑洞征、岛征、不规则征占比及D-D水平均显著高于良好组,差异均有统计学意义(P<0.05)。多因素logistic回归分析发现,D-D、早期HE、卫星征、黑洞征、岛征、不规则征为SICH患者短期预后不良的危险因素(P<0.05)。Spearman相关系数分析显示,漩涡征、卫星征、低密度征与D-D水平均呈正相关(P<0.05)。结论:SICH患者CT特殊征象与D-D水平及短期预后密切相关。

Objective:To analyze the relationship of computed tomography(CT)special signs with D-dimer(D-D)level and short-term prognosis in patients with spontaneous intracerebral hemorrhage(SICH).Method:Data of 80 patients with SICH admitted to Leping People's Hospital from January to December 2023 were selected,clinical data and non-enhanced CT signs of the two groups were collected and compared,and they were divided into good group and bad group according to short-term prognosis.Multi-factor logistic regression was used to analyze the risk factors for short-term poor prognosis of SICH patients.Spearman correlation coefficient was used to analyze the correlation between CT special signs and D-D level.Result:The proportion of early hematoma enlargement(HE),satellite sign,black hole sign,island sign,irregular sign and D-D level in the bad group were significantly higher than those in the good group,the differences were statistically significant(P<0.05).Multi-factor logistic regression analysis showed that D-D,early HE,satellite sign,black hole sign,island sign and irregular sign were the influential factors for poor short-term prognosis of SICH patients(P<0.05).Spearman correlation coefficient analysis showed that swirl sign,satellite sign and low density sign were positively correlated with D-D level(P<0.05).Conclusion:CT special signs of SICH patients are closely related to D-D level and short-term prognosis.