摘要
目的:研究多模态磁共振成像(MRI)检查对超急性期缺血性脑卒中患者治疗指导价值。方法:选取2015年1月至2019年1月于我院CT/磁共振科临床初步筛选的患者103例作为研究对象,其中经过多模态MRI中弥散加权成像(DWI)、磁共振血管造影(MRA)以及磁共振(MR)平扫确诊的存在95例超急性期缺血性脑卒中患者,并根据患者影像学评价结果进行分组,影像学评价结果提示可采用溶栓治疗的45例患者作为观察组,影像学评价结果提示不可采用溶栓治疗的50例患者作为对照组,比较不同时间窗患者的临床结果、影像学筛查结果以及溶栓情况,记录并比较两组患者治疗结束后卒中量表评分(NIHSS)、日常生活能力评定量表(BI)以及改良Rankin评分(mRS)情况。结果:观察组超急性期缺血性脑卒中患者NIHSS评分明显低于对照组(P<0.05),观察组超急性期缺血性脑卒中患者BI评分明显高于对照组(P<0.05)。观察组超急性期缺血性脑卒中患者BI评分明显高于对照组(P<0.05),观察组患者mRS评分明显低于对照组,差异有统计学意义(P<0.05)。结论:多模态MRI检查能够辅助临床医务工作人员评估超急性期缺血性脑卒中患者,能够筛选出适应溶栓治疗的患者,有利于提高临床超急性期缺血性脑卒中患者的临床治疗疗效以及有利于改善患者的预后情况。
Objective:To study the treatment value of multimodal magnetic resonance imaging(MRI)in patients with hyperacute ischemic stroke.Methods:Between January 2015 and January 2019,103 patients by clinical screening of the Department of Radiology and Imaging in our hospital were enrolled as subjects,of which 95 patients with hyperacute ischemic stroke diagnosed by diffusion-weighted imaging(DWI),magnetic resonance angiography(MRA)and magnetic resonance(MR)in multimodal MRI were further divided into subgroups according to the patient’s imaging evaluation.The results showing that 45 patients who could be treated with thrombolytic therapy were used as the observation group and 50 patients who could not be treated with thrombolytic therapy were used as the control group.Clinical outcomes,imaging screening results,and thrombolysis in patients with different time windows were compared.The National Institutes of Health Stroke Scale(NIHSS),Barthel Index(BI),and modified Rankin score(mRS)were recorded and compared between the two groups.Results:The NIHSS scores of the hyperacute ischemic stroke patients in the observation group were significantly lower than those in the control group(P<0.05).The BI scores in the hyperacute ischemic stroke patients of the observation group were significantly higher than those of the control group(P<0.05).The mRS score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:Multimodal MRI can assist clinical staff to evaluate the patients with hyperacute ischemic stroke,and can screen patients who are suitable for thrombolytic therapy,which is beneficial to improve the clinical efficacy and prognosis in patients with hyperacute ischemic stroke.
作者
邬守昌
Wu Shouchang(Department of CT/MR,Juye County People's Hospital,Heze,Shandong 274900)
出处
《现代医用影像学》
2022年第8期1404-1407,1430,共5页
Modern Medical Imageology
关键词
超急性期缺血性脑卒中
多模态磁共振成像
溶栓治疗
hyperacute ischemic stroke
multimodal magnetic resonance imaging
thrombolytic therapy
作者简介
邬守昌,男,山东巨野人,大学本科,主治医师,研究方向:骨关节磁共振诊断。
