高血压患者脑微出血的临床特点

发布时间：2018-04-17 08:51

  本文选题：高血压 + 脑微出血　； 参考：《中国老年学杂志》2017年10期

【摘要】：目的探讨应用磁共振磁敏感加权成像(SWI)评价高血压患者脑微出血(CMBs)的临床特点。方法随机收集该院2014年9月至2016年5月住院患者80例,其中高血压患者45例,对照组(非高血压患者)35例。患者均行磁共振成像(MRI)序列、SWI序列检查。分析并统计入选患者SWI序列上CMBs的位置及数量。结果 80例患者共发现CMBs灶共514个,其中高血压组433个,对照组81个,两组CMBs在大脑分布上有统计学差异(t=3.427,P0.05)。高血压组CMBs主要分布在基底节区(39%)。高血压组存在CMBs的患者与非CMBs的患者在平均收缩压、平均舒张压、高血压年限上并无统计学意义(P0.05)。高血压组CMBs的数目与收缩压、舒张及高血压年限并无相关性。结论 CMBs在高血压患者中有较高的发生率,并有一定的分布特点,多分布在基底节区。CMBs的数目与收缩压、舒张压、病史长短无相关性。
[Abstract]:Objective to evaluate the clinical characteristics of cerebral microhemorrhage (CMBs) in hypertensive patients by magnetic resonance magnetic sensitivity weighted imaging (MRI).Methods from September 2014 to May 2016, 80 inpatients were randomly selected, including 45 patients with hypertension and 35 patients without hypertension.All patients were examined with MRI sequence and SWI sequence.The position and quantity of CMBs on SWI sequence of selected patients were analyzed and counted.Results A total of 514 CMBs foci were found in 80 patients, including 433 in hypertension group and 81 in control group. There was a significant difference in brain distribution of CMBs between the two groups (P 0.05).CMBs was mainly distributed in basal ganglia in hypertension group.The mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and hypertension duration in patients with CMBs and non- were not statistically significant (P 0.05).There was no correlation between the number of CMBs and systolic blood pressure, diastolic pressure and hypertension years in hypertensive group.Conclusion there is a high incidence of CMBs in hypertensive patients, and there is no correlation between the number of .CMBs distributed in basal ganglia and systolic blood pressure, diastolic blood pressure, history of hypertension.
【作者单位】： 吉林大学中日联谊医院神经内科;吉林大学第一医院;
【分类号】：R544.1;R743.34
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本文编号：1762912