急性缺血性脑卒中后血管性痴呆的核磁共振的临床诊断分析

Clinical Diagnosis of Nuclear Magnetic Resonance(NMR) of Vascular Dementia After Acute Ischemic Stroke

目的:研究与分析急性缺血性脑卒中后血管性痴呆的核磁共振的临床诊断效果。方法:从本院2016年9月—2017年11月接收的急性缺血性脑卒中患者中,随机抽取120例患者,将检查后发现血管性痴呆的缺血性脑卒中患者作为观察组,非血管性痴呆患者作为对照组,均60例。经头颅核磁共振检查后,观察两组患者的脑梗死发生部位、大小、数目。结果:观察组患者短程记忆评分以及计算能力显著低于对照组(P<0.05);观察组患者大梗死发病率显著高于对照组(P<0.05);对照组患者中小梗死发病率显著高于观察组(P<0.05);差异具有统计学意义。结论:丘脑、额叶、枕叶等部位是急性缺血性脑卒中后血管性痴呆的主要梗死部位,而且以大中梗死较为常见,与患者的年龄、卒中次数有一定的关联。

Objective To study and analyze the clinical diagnosis of vascular dementia after acute ischemic stroke. Methods A total of 120 patients were randomly selected from our hospital from September 2016 to November 2017. The patients with ischemic stroke who were found to have vascular dementia were selected as the observation group, Non-vascular dementia patients as a control group, 60 cases. After skull MRI examination, the incidence, size and number of cerebral infarction in both groups were observed. Results The short-term memory score and calculation ability of the observation group were significantly lower than those of the control group(P<0.05); the incidence of major infarction in the observation group was significantly higher than that of the control group(P<0.05); the incidence of small and medium infarction in the control group was significantly Higher than the observation group patients(P<0.05); the difference was statistically significant. Conclusion The thalamus, frontal lobe, occipital lobe and other parts of the brain are the main infarction areas of vascular dementia after acute ischemic stroke, and are more common in medium and large infarcts. They are correlated with the age of patients and the number of strokes.