动脉样硬化 (CSVD):痴呆和中风的常见原因及其与认知功能和MRI总负担的关联
Min Hua1, Ai-Jin Ma1, Zhi-Qing Liu1
1Department of Neurology, Wujin Hospital Affiliated to Jiangsu University, The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China.
动脉样硬化脑小血管疾病 (CSVD) 与认知能力下降和增加MRI负担有关. 深度脑缩独立预测认知障碍,而高血压与CSVD患者的MRI负担更高有关.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 老年学是指老年学的学科.
背景情况:
- 动脉样硬化脑小血管疾病 (CSVD) 是一种影响大脑健康的普遍疾病.
- 了解影响认知功能和疾病负担的因素对于患者管理至关重要.
研究的目的:
- 调查与动脉样硬化症中认知功能相关的因素CSVD.
- 在患有动脉样硬化症的CSVD患者中探索MRI总负担的预测因素.
主要方法:
- 从2014年至2022年对146名动脉样硬化CSVD患者的回顾性分析.
- 认知功能的评估,巴特尔指数 (BI) 和大脑MRI发现 (WMH,缩).
- 用于识别认知功能和MRI负担相关因素的物流回归模型.
主要成果:
- 108名患者 (74.0%) 呈现认知功能障碍;83人 (56.8%) 患有中度至重度的日常生活依赖 (BI ≤ 60).
- 深脑缩与认知障碍独立相关 (P=0.024).
- 高血压与MRI总负担独立相关 (P=0.001).
结论:
- 深脑缩是动脉样硬化中认知功能障碍的独立危险因素CSVD.
- 高血压是一个独立的风险因素,在这个患者群体中增加了MRI总负担.
- 动脉样硬化症 (CSVD) 的进展会随着时间的推移影响认知功能和疾病负担.
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