论文部分内容阅读
目的分析大脑中动脉粥样硬化性脑梗死相关危险因素的差异,探讨其潜在病因。方法收集136例大脑中动脉粥样硬化性急性脑梗死患者的DWI资料,据梗死灶的形态表现分为三种类型:大皮层、小皮层(直径<1cm)、深部梗死。分析三种类型的危险因素。结果调整影响因素,老年人独立的和小皮层病灶有关;年轻人、快速增长的血葡萄糖水平和入院后外周血白细胞增高独立的和大皮层病灶有关。结论年龄、血葡萄糖水平、白细胞数量能预测大脑中动脉粥样硬化性急性脑梗死的梗死灶形态,强化这些方面的检查,有利于指导治疗,改善预后。
Objective To analyze the differences of risk factors related to cerebral atherosclerotic cerebral infarction and to explore the underlying causes. Methods The DWI data of 136 patients with middle cerebral artery atherosclerotic cerebral infarction were collected and divided into three types according to the morphological features of infarction: large cortex, small cortex (diameter <1cm) and deep infarction. Analysis of three types of risk factors. The results were adjusted for influencing factors, which were independently associated with small cortical lesions in the elderly; and young, rapidly increasing blood glucose levels were associated with independent and enlarged cortical lesions of peripheral white blood cells after admission. Conclusion Age, blood glucose level and number of white blood cells can predict the infarct morphology of atherosclerotic cerebral infarction in the brain and strengthen the examination in these aspects, which is good for guiding the treatment and improving the prognosis.