| 熊敏荣,邵永良,钟丽琴,顾国强,孙云峰,陆莉萍,赵徐东.老年脑梗死并抑郁患者的CT影像学特征分析[J].中国临床保健杂志,2020,23(2):274-277. |
| 老年脑梗死并抑郁患者的CT影像学特征分析 |
| Analysis of CT imaging features of elderly patients with cerebral infarction and depression |
| 投稿时间：2020-01-08 |
| DOI：10.3969/J.issn.1672-6790.2020.02.034 |
| 中文关键词: 脑梗死 抑郁 体层摄影术,X线计算机 老年人 |
| 英文关键词: Brain infarction Depression Tomography,X-Ray computed Aged 〖FL |
| 基金项目:浙江省医药卫生科技计划项目(2019KY681) |
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| 中文摘要: |
| 目的 探讨老年脑梗死并抑郁患者的CT影像学特征。方法 选取2017年1月至2018年12月湖州市第三人民医院收治的102例老年脑梗死患者,按照随机数字分组法分为两组:研究组(n=51)为脑梗死后并发抑郁症患者,对照组(n=51)为脑梗死后无抑郁症者,均予以CT检查,并对其临床资料予以回顾性分析,比较两组患者一般资料、CT检查结果差异,同时分析脑梗死后抑郁患者CT表现与抑郁症的相关性。结果 ①研究组和对照组的既往吸烟史、糖尿病史、高血压病史、冠心病病史差异有统计学意义(P值均＜0.05)；②研究组患者病灶位于前循环区域、左半球、额叶与颞叶者占比较高,大面积病灶者、多发性病灶者占比也高于对照组(P值均＜0.05)；③研究组额叶病灶左侧、右侧CT值均低于对照组,颞叶病灶左侧的CT值低于对照组(P值均＜0.05)；④脑梗死后抑郁症患者额叶、颞叶CT值与抑郁症评分无相关性(P值均＞0.05)。结论 老年脑梗死并抑郁患者的CT影像学特征明显,额叶与皮质损伤可能是老年脑梗死合并抑郁发作的生物学基础。 |
| 英文摘要: |
| Objective To explore the CT imaging features of senile cerebral infarction with depression.Methods 102 elderly patients with cerebral infarction who were diagnosed and treated in the Third People's Hospital of Huzhou City from January 2017 to December 2018 were divided into two groups according to whether there was depression after cerebral infarction:the study group (n=51) was the patients with depression after cerebral infarction,the control group (n=51) was the patients without depression after cerebral infarction,all of them were examined by CT,and their clinical data were analyzed retrospectively.At the same time,the correlation between CT manifestations and depression was analyzed.Results ① There were statistically significant differences in smoking history,diabetes history,hypertension history and coronary heart disease history between the study group and the control group (all P The CT values of left and right side of the focus were lower than those of the control group,and the CT values of left side of temporal lobe focus were lower than those of the control group (all P<0.05); ④ there was no correlation between the CT values of frontal lobe and temporal lobe and depression score in patients with post cerebral infarction depression (all P>0.05).Conclusion The CT imaging features of elderly patients with cerebral infarction and depression are obvious.The damage of frontal lobe and cortex may be the biological basis of elderly patients with cerebral infarction and depression. |
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