| 张 磊,李 卓,吉桂赟,徐大蒙,闫 婧.MRI与CT检查对老年多发性脑梗死患者诊断价值、预后及满意度的影响[J].,2021,(13):2535-2538 |
| MRI与CT检查对老年多发性脑梗死患者诊断价值、预后及满意度的影响 |
| The Effect of MRI and CT Examination on the Diagnosis, Prognosis and Satisfaction of Multiple Cerebral Infarction in the Elderly |
| 投稿时间：2020-12-23 修订日期：2021-01-17 |
| DOI：10.13241/j.cnki.pmb.2021.13.028 |
| 中文关键词: 老年 多发性脑梗死 磁共振 计算机断层扫描 诊断 预后 满意度 |
| 英文关键词: Elderly Multiple cerebral infarction Magnetic resonance Computed tomography Diagnosis Prognosis Satisfaction |
| 基金项目:国家自然科学基金项目（30972076）；陕西省科学技术研究发展计划项目(2016SF-043) |
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| 中文摘要: |
| 摘要 目的：分析磁共振（MRI）与计算机断层扫描（CT）检查对老年多发性脑梗死患者诊断价值、预后及满意度的影响。方法：选择2017年1月至2019年2月我院收治的老年多发性脑梗死患者141例，其中接受MRI检查的患者68例作为MRI组，接受CT检查的患者73例作为CT组，比较两组患者多发性脑梗死的检出情况、检出的病灶数量、病灶大小及检查所需时间，并比较患者预后情况及检查满意率。结果：MRI组发病<24 h检出率、总检出率高于CT组（P＜0.05）。MRI组检出的病灶数量显著高于CT组，病灶显著小于CT组，检查所需时间显著短于CT组（P＜0.05）。MRI组患者病残率及死亡率均低于CT组（P＜0.05）。MRI组患者总满意率显著高于CT组（P＜0.05）。结论：与CT相比，MRI对老年多发性脑梗死诊断价值更高，检出的病灶数量更多，有利于降低患者病残率和死亡率，且患者满意度更高。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the effect of magnetic resonance (MRI) and computed tomograph (CT) examination on the diagnosis, prognosis and satisfaction of multiple cerebral infarction in the elderly. Methods: 141 elderly patients with multiple cerebral infarction enrolled in our hospital from January 2017 to February 2019, 68 patients underwent MRI examination as MRI group, and 73 patients underwent CT examination as CT group. The detection of elderly multiple cerebral infarction, the number of detected lesions, the size of lesions and the time needed for examination were compared between the two groups, and the prognosis and the satisfaction rate of examination were compared. Results: The incidence < 24 h detection rate and the total detection rate in MRI group were higher than those in CT group (P＜0.05). The number of detected lesions in MRI group was significantly higher than that in CT group, the size of lesions was significantly less than that in CT group, and the time needed for examination was significantly shorter than that in CT group(P＜0.05). The morbidity rate and death rate of MRI group were lower than those of CT group(P<0.05). The total satisfaction rate of MRI group was significantly higher than that of CT group(P＜0.05). Conclusion: Compared with CT, MRI has a higher value in the early diagnosis of multiple cerebral infarction in the elderly, with more lesions, which has conducive to reducing the morbidity and mortality of patients, and which has a higher patient satisfaction. |
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