MRI对糖尿病急性脑梗死患者颈动脉粥样硬化斑块稳定性的评估价值

目的:探讨核磁共振成像(MRI)对急性脑梗死合并糖尿病患者颈动脉粥样硬化斑块稳定性的评估价值。方法:选取2013年5月-2015年5月在我院接受治疗的83例糖尿病合并急性脑梗死患者作为研究组,另选择单纯急性脑梗死患者61例作为对照组。两组患者均采用MRI评估颈动脉血管及斑块稳定性,并分析影响颈动脉斑块稳定性的危险因素。结果:研究组患者颈动脉粥样硬化易损斑块的发生率高于对照组,差异具有统计学意义(P0.05);研究组患者斑块最大厚度明显高于对照组,差异具有统计学意义(P0.05);两组患者血管总面积、血管壁面积、血管腔面积及血管壁标准化指数比较,差异均无统计学意义(P0.05)。性别、糖尿病以及饮酒是影响急性脑梗死患者颈动脉斑块稳定性的独立危险因素(P0.05)。结论:MRI能够有效评估急性脑梗死患者颈动脉粥样硬化斑块的稳定性,有利于临床诊断以及确定治疗方案,值得推广应用。

Prognostic Value of MRI in the Stability of Carotid Atherosclerotic Plaques of Patients with Cerebral Infarction and Diabetes

Objective:To evaluate the value of magnetic resonance imaging (MRI) in the stability of carotid atherosclerotic plaques in patients with cerebral infarction complicated with diabetes.Methods:83 patients with acute cerebral infarction who were treated in our hospital from May 2013 to May 2015 were selected to be the study group, and another 61 cases with acute cerebral infarction were chosen to be the control group. Then the MRI was used to evaluate the arotid artery blood vessel and plaque stability of patients in the two groups, and the influence factors of carotid artery plaque stability were analyzed by logistic analysis.Results:The incidence rate of carotid atherosclerosis vulnerable plaque in the study group was higher than that of the control group, the difference was statistically significant (P<0.05). The maximumthickness of the patients in the study group was higher than that of the control group, and the difference was statistically significant (P<0.05); There was no statistically significant difference about the area of total blood vessel, vessel wall and standardization indexed in the two groups (P>0.05). Logistic analysis showed that gender, diabetes and drinking were the independent risk factors for carotid plaque stability (P<0.05).Conclusion:MRI can effectively evaluate the stability of carotid atherosclerotic plaques, and help to diagnose and make treatment plans, which is worthy of clinical application.