摘要
目的分析头颅CT影像学征象与脑卒中患者rtPa静脉溶栓预后的相关性。方法回顾性分析我院205例脑卒中患者的临床资料,所有患者治疗前均进行头颅CT检查,并采用rtPa静脉溶栓治疗,观察患者的预后情况,对可能引起rtPa静脉溶栓预后不良的相关因素进行单因素分析和多因素Logistic回归分析。结果单因素分析显示,CT显示的组织低密度程度、梗死范围、中线移位情况、基底池形态、脑岛带征及皮髓界限模糊是影响患者预后的危险因素(P<0.05);多因素Logistic回归分析显示,组织低密度程度、梗死范围及中线移位程度是影响患者预后不良的独立高危因素(P<0.05)。结论临床在对脑卒中患者进行rtPa静脉溶栓时,头颅CT影像学征象能够辅助判断患者预后,脑组织低密度程度、梗死范围及中线移位程度可作为重要指标。
Objective To analyze the correlation between cranial CT imaging signs and prognosis of rtPa intravenousthrombolysis in patients with stroke. Methods The data of 205 stroke patients in our hospital were retrospectively analyzed. Allpatients underwent preoperative cranial CT examination and rtPa intravenous thrombolytic therapy. Prognosis of the patientswere observed, the univariate analysis and multivariate Logistic regression analysis of the factors that may cause poor prognosisof rtPa thrombolysis were carried out. Results The univariate analysis showed that the degree of tissue low density, infarct size,midline shift, basal cistern morphology, brain insular ribbon sign and blurred medullary boundary were the risk factors affectingpatients＇ prognosis（P〈0.05）. The multivariate Logistic regression analysis showed that the degree of tissue low density, infarctsize and the degree of midline shift were the independent risk factors for poor prognosis of patients （P〈0.05）. Conclusion Thecranial CT imaging signs of the head can help to determine the prognosis of rtPa intravenous thrombolysis in stroke patients, andthe degree of tissue low density, infarct size and midline shift can be used as important indicators.
作者
张继荣
梁建林
ZHANG Ji-rong;LIANG Jian-lin(the Hospital of Shenmu,Yulin 719300;Hancheng Maternal and Child Health Family Planning Service Center,Weinan 715400,China)
出处
《临床医学研究与实践》
2018年第29期90-91,共2页
Clinical Research and Practice
