磁共振DTI技术在评估脑梗死患者运动功能康复治疗效果中的研究

发布时间：2018-05-03 20:24

本文选题：脑梗死 + 磁共振　；参考：《中国CT和MRI杂志》2017年02期

【摘要】：目的探讨磁共振弥散张量成像(DTI)在评估脑梗死患者运动功能康复治疗效果中的应用价值。方法医院36例慢性脑梗死患者运动功能康复治疗前后均行磁共振成像和DTI检查,处理图像数据获得各向异性分数(FA)伪彩图,行双侧皮质脊髓束(CST)重建,对健侧和患侧相关数据进行统计分析。结果本组36例患者中,2级15例,占41.67%;3级21例,占58.33%;将15例2级作为A组,21例3级作为B组;A组康复FA值为(0.612±0.039)显著高于B组;2组康复后均显著下降,与康复前相比,差异显著(P0.05);A组康复后FA值为(0.556±0.064)显著高于B组,具有统计学意义(P0.05);康复前A组FudlMeyer评分为(57.264±5.821)分显著高于B组,康复后A组Fudl-Meyer评分为(85.162±9.861)分显著高于B组,差异显著(P0.05);康复治疗前后CST FA值下降百分数与Fudl-Meyer评分上升百分数呈负相关关系。结论磁共振DTI技术可根据CST受损程度评估肢体运动康复训练效果。
[Abstract]:Objective to evaluate the effect of magnetic resonance diffusion Zhang Liang DTI (DTI) on motor function rehabilitation in patients with cerebral infarction. Methods 36 patients with chronic cerebral infarction were treated with magnetic resonance imaging and DTI before and after rehabilitation. The related data of healthy side and affected side were statistically analyzed. Results there were 15 cases of grade 2 in this group, accounting for 41.67 grade 3, accounting for 58.33.The FA value of rehabilitation in group A was 0.612 卤0.039, which was significantly lower than that in group B after rehabilitation, compared with that before rehabilitation, and there was no significant difference between group A and group B, and the FA value of group A was 0.612 卤0.039, which was significantly lower than that of group B, which was significantly lower than that of group B (P < 0.05), and was significantly lower than that of group B (P < 0.05). The FA value of group A after rehabilitation was significantly higher than that of group B (P 0.05 卤0.064), the FudlMeyer score of group A before rehabilitation was 57.264 卤5.821) significantly higher than that of group B, and the Fudl-Meyer score of group A was significantly higher than that of group B after rehabilitation (P 0.05 卤0.064), and the Fudl-Meyer score of group A was significantly higher than that of group B before rehabilitation (P < 0.05 卤0.064), and the FudlMeyer score of group A before rehabilitation was significantly higher than that of group B (P < 0.05). There was a negative correlation between the decrease of CST FA and the increase of Fudl-Meyer score before and after rehabilitation treatment. Conclusion DTI technique can be used to evaluate the effect of limb motor rehabilitation training according to the degree of CST damage.
【作者单位】：首都医科大学附属北京康复医院;北京市丰台区南苑医院;
【分类号】：R743.33;R445.2

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