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早产儿脑损伤诊断中T1WI-T2WI与弥散加权成像的应用及其相关危险因素分析

王玉 柏金秀 孙东明 安娜 李晨

西北国防医学杂志2016,Vol.37Issue(6):382-384,3.
西北国防医学杂志2016,Vol.37Issue(6):382-384,3.DOI:10.16021/j.cnki.1007-8622.2016.06.011

早产儿脑损伤诊断中T1WI-T2WI与弥散加权成像的应用及其相关危险因素分析

Application of T1WI-T2WI and diffusion weighted imaging in the diagnosis of brain injury in preterm infants and analysis of related risk factors

王玉 1柏金秀 1孙东明 1安娜 1李晨1

作者信息

  • 1. 河北大学附属医院儿科,河北 保定 071000
  • 折叠

摘要

Abstract

Objective:To analyze the application of T1WI-T2WI and diffusion weighted imaging in the diagnosis of brain injury in preterm infants.Methods:The clinical data of T1WI-T2WI and diffusion weighted imaging of brain injury in preterm infants of our hospital were reviewed retrospectively.The results were analyzed by single factor analysis.Logistic regression analysis was carried out on the factors which were statistically significant.Results:Alltogether 422 cases of premature infants were admitted,among them,213 cases suffered from brain injury.There were 98 cases of ischemic brain injury(including non bleeding injury with 33 cases of focal abnormal signals,49 cases of abnormal signal,16 patients with PVL),91 cases of hemorrhagic brain injury,24 cases of ischemic brain injury accompanied by hemorrhagic brain injury.Urgent production,twin pregnancy,circulatory disorder,hypocalcemia were the independent risk factors of brain injury in preterm infants.Multivariate Logistic regression revealed that vaginal delivery,maternal infection,hyponatremia were the independent risk factors of brain injury in preterm infants,and prenatal use of magnesium sulfate was the protective factor.Conclusion:Risk factors of brain injury in preterm infants include maternal infection,diabetes,birth process and living environment.The perinatal period should avoid these factors and reduce the complications of the nervous system.

关键词

脑损伤/早产儿/弥散加权成像/T1WI-T2WI/危险因素

Key words

brain injury/preterm infants/diffusion weighted imaging/T1WI T2WI/riskfactors

分类

医药卫生

引用本文复制引用

王玉,柏金秀,孙东明,安娜,李晨..早产儿脑损伤诊断中T1WI-T2WI与弥散加权成像的应用及其相关危险因素分析[J].西北国防医学杂志,2016,37(6):382-384,3.

基金项目

河北省医学科学研究重点课题计划资助项目(20150480) (20150480)

西北国防医学杂志

1007-8622

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