脑脊液分析+核磁共振成像对中枢神经系统感染鉴别诊断的价值研究
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摘要
目的探讨脑脊液分析+核磁共振成像对中枢神经系统感染鉴别诊断的价值。方法随机选取我院在2016年2月-2018年2月就诊的中枢神经系统感染患者共100例作为研究组,同时选取同期在我院就诊的100例头痛患者作为对照组,研究分析两组患者的MRI阳性率,LDH、CK、LA检查结果。结果研究组的MRI阳性率较对照组差异有统计学意义,(95.00%VS 5.00%,P<0.05);两组患者的LDH、CK、LA水平对比具有统计学意义(P<0.05)。结论脑脊液分析+核磁共振成像在中枢神经系统感染中具有突出的诊断意义,有助于鉴别患者的患病类型,为临床医师对患者实行治疗方案提供了可靠的依据。
Objective To explore the value of cerebrospinal fluid analysis+magnetic resonance imaging in the differential diagnosis of central nervous system infection.Methods A total of 100 patients with central nervous system infection who were treated in our hospital from February 2016 to February 2018 were randomly selected as the study group.One hundred patients with headaches who were treated in our hospital at the same time were selected as the control group.MRI positive rate,LDH,CK,LA test results.Results The MRI positive rate of the study group was statistically significant compared with the control group(95.00% vs 5.00%,P<0.05).The levels of LDH,CK and LA in the two groups were statistically significant(P<0.05).Conclusion Cerebrospinal fluid analysis + magnetic resonance imaging has a prominent diagnostic significance in central nervous system infection,which helps to identify the type of disease in patients,and provides a reliable basis for clinicians to implement treatment plans for patients.
Objective To explore the value of cerebrospinal fluid analysis+magnetic resonance imaging in the differential diagnosis of central nervous system infection.Methods A total of 100 patients with central nervous system infection who were treated in our hospital from February 2016 to February 2018 were randomly selected as the study group.One hundred patients with headaches who were treated in our hospital at the same time were selected as the control group.MRI positive rate,LDH,CK,LA test results.Results The MRI positive rate of the study group was statistically significant compared with the control group(95.00% vs 5.00%,P<0.05).The levels of LDH,CK and LA in the two groups were statistically significant(P<0.05).Conclusion Cerebrospinal fluid analysis + magnetic resonance imaging has a prominent diagnostic significance in central nervous system infection,which helps to identify the type of disease in patients,and provides a reliable basis for clinicians to implement treatment plans for patients.
引文
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[11] Omar B,Besma S,Hadj A B,et al.The value of magnetic resonance imaging (MRI) in the diagnosis of Central nervous system tuberculosis[J].2015,24(2):543-545.
[12] 魏亚军.CT磁共振诊断中枢神经系统感染的临床价值探讨[J].环球中医药,2015(s2).
[13] 郭立超,李娇,魏晓龙.脑脊液实验室检查在中枢神经系统感染性疾病诊断中的应用[J].检验医学,2016,31(4):334-337.
[14] Lyons J L,Thakur K T,Lee R,et al.Utility of Measuring (1,3)-β-d-Glucan in Cerebrospinal Fluid for Diagnosis of Fungal Central Nervous System Infection[J].Journal of Clinical Microbiology,2015,53(1):319-322.
[15] Taojun He,Samuel Kaplan,Mini Kamboj,Yi-Wei Tang.Laboratory Diagnosis of Central Nervous System Infection[J].Current Infectious Disease Reports,2016,18(11):35.
[2] Arruti M,Pieiro L D,Salicio Y,et al.Incidence of varicella zoster virus infections of the central nervous system in the elderly:a large tertiary hospital-based series (2007-2014)[J].Journal of Neurovirology,2017,23(3):1-9.
[3] Ho N T,Vmt H,Nnt L E,et al.A spatial and temporal analysis of paediatric central nervous system infections from 2005 to 2015 in Ho Chi Minh City,Vietnam[J].Epidemiology & Infection,2017(Suppl):1-11.
[4] Sosa R G,Epstein L.Approach to Central Nervous System Infections in the Emergency Department[J].Clinical Pediatric Emergency Medicine,2015,16(1):11-18.
[5] 安庆华,郑玉明,孙志宝,等.3种诊断技术对中枢神经系统感染的诊断价值与临床意义比较研究[J].中华医院感染学杂志,2016,26(8):1721-1723.
[6] 杨柳青,刘映霞.中枢神经系统感染性疾病的鉴别诊断[J].临床内科杂志,2017,34(11):725-729.
[7] 王建东,王岩,李杰.核磁共振成像与脑脊液分析在中枢神经系统感染鉴别诊断中的价值[J].中华医院感染学杂志,2015(16):3731-3732.
[8] 岳新胜,张云峰,李胜迪.中枢神经系统感染患者脑脊液检查的结果分析[J].中华医院感染学杂志,2015(16):3729-3730.
[9] 李桂霞.磁共振成像联合脑脊液分析在中枢神经系统感染鉴别诊断中的价值[J].临床和实验医学杂志,2016,15(9):910-913.
[10] 艾英,赖力,杨靖逸,等.CT 与磁共振在中枢神经系统感染的诊断价值[J].中华医院感染学杂志,2016(4):807-809.
[11] Omar B,Besma S,Hadj A B,et al.The value of magnetic resonance imaging (MRI) in the diagnosis of Central nervous system tuberculosis[J].2015,24(2):543-545.
[12] 魏亚军.CT磁共振诊断中枢神经系统感染的临床价值探讨[J].环球中医药,2015(s2).
[13] 郭立超,李娇,魏晓龙.脑脊液实验室检查在中枢神经系统感染性疾病诊断中的应用[J].检验医学,2016,31(4):334-337.
[14] Lyons J L,Thakur K T,Lee R,et al.Utility of Measuring (1,3)-β-d-Glucan in Cerebrospinal Fluid for Diagnosis of Fungal Central Nervous System Infection[J].Journal of Clinical Microbiology,2015,53(1):319-322.
[15] Taojun He,Samuel Kaplan,Mini Kamboj,Yi-Wei Tang.Laboratory Diagnosis of Central Nervous System Infection[J].Current Infectious Disease Reports,2016,18(11):35.
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