摘要
目的探讨缺血性脑白质病变的诊断分型及针对性治疗。方法回顾性分析180例缺血性脑白质病变患者的完整影像学资料、临床表现、实验室检查及治疗效果。根据影像学检查和临床表现将缺血性脑白质病变分成轻、中、重三型,然后分别进行针对性治疗,并做对比观察、随访、统计。结果不同类型的缺血性脑白质病变经以下针对性治疗:改变生活习惯,基础疾病治疗,康复治疗,前瞻性预防脑梗死及脑出血用药。治疗组患者的影像学病变范围、临床症状以及预后,明显优于未经针对性治疗组。结论不同类型的缺血性脑白质病变患者应分别进行及早的干预和针对性治疗。
Objective To explore the diagnosis,typing and the telic treatment of white matter ischemic lesions.Methods The complete imaging findings,clinic,laboratory result and curative effect of 180 cases were retrospectively analyzed.The white matter ischemic lesions were divided into three types including:Light、Medium and Heavy on the basis of the imaging findings and clinic. All the patients were treated and followed,their cognitive deteriorations were valuated.Results Through the following telic treatment: changing living habit,treating the elementary disease,using rehabilitative management,applying drug to prevent the recurrence. The imaging findings,clinic and prognosis of the treated group is better than that of the control group.Conclusion These resuits suggest that the early intervention and the telic treatment must to be used to the white matter ischemic lesions of the different types.
出处
《中国医药指南》
2008年第24期7-9,共3页
Guide of China Medicine
关键词
脑白质疏松
缺血性脑白质病变
leukoaraiosis(LA)
white matter ischemic lesions
