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目的对比研究急性脑梗塞超早期脑循环动力学改变与CT的诊断价值。方法选取我院2015年3月~2017年4月收治的急性期和超早期脑梗死患者116例进行研究,所选患者均行以脑循环动力学检测(CVA)与CT检查,对两组检测结果进行分析和比较。结果两种检测方式的结果比较存在一致性,超早期CVA阳性率、CT阳性率分别为94.83%、16.38%,CVA明显比CT高,差异有统计学意义(P<0.05);两种检测方式的异常侧检测结果均与临床查体异常侧检测结果之间有高度一致性;多发性脑梗塞、非腔隙性脑梗塞、超早期脑梗塞患者CVA检查异常更加显著。脑梗塞急性期与超早期检测结果比较,除CP无差异之外,其他指标均有显著差异。结论对于脑梗塞患者超早期诊断来说,CVA检测的敏感性更高,对疾病早期治疗有重要意义。
Objective To compare the diagnostic value of ultra-early cerebral circulation dynamics and CT in patients with acute cerebral infarction. Methods A total of 116 patients with acute and early-stage cerebral infarction who were admitted to our hospital from March 2015 to April 2017 were enrolled in this study. The selected patients underwent cerebral circulation dynamics (CVA) and CT examination. The results were analyzed and compared. Results The results of the two methods were consistent. The positive rates of CVA and CT in ultra-early stage were 94.83% and 16.38%, respectively. CVA was significantly higher than CT (P <0.05) Abnormal side of the test results and clinical examination of the abnormal side of the test results are highly consistent; multiple cerebral infarction, non-lacunar infarction, ultra-early cerebral infarction patients CVA abnormalities even more significant. Comparison of acute cerebral infarction and ultra-early detection results, except CP no difference, the other indicators were significantly different. Conclusions For early diagnosis of cerebral infarction, the sensitivity of CVA detection is higher, which is of great significance for the early treatment of the disease.