不同程度阿尔茨海默病(AD)患者大脑异生皮质区CT血流灌注水平 及其与精神行为的相关性

CT blood perfusion in the cerebral cortex of patients with different degrees of Alzheimers disease and its correlation with mental behavior

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

洛阳市中心医院 ;
洛阳市中心医院 放射科 ;
洛阳市中心医院 神经内科 ;

摘要
【摘要】 探讨不同程度阿尔茨海默病(AD)患者大脑异生皮质区CT血流灌注水平及其与精神行为的相关性。方法 选取我院AD患者89例,采用临床痴呆评定量表(CDR)评分分为轻度AD组(39例),中度AD组(32例),重度AD组(18例),并选取同期健康人群30例作为对照组,分析不同AD程度TTP和NPI评分间的相关性。结果 不同程度AD患者不同感兴趣区血流灌注参数TTP值较对照组存在显著性差异(P<0.05),且中、重度AD患者TTP显著较对照组延长(P<0.05)。不同程度AD患者NPI评分比较存在显著性差异(P<0.05)。经相关性分析,轻、中、重度AD患者和脑CT血流参数TTP与NPI评分均存在负相关性(P<0.05)。 结论 阿尔茨海默病患者大脑异生皮质区的缺血性改变可能是导致患者精神行为的原因,且随病情的进展,对精神行为的损害也逐渐加重。
Abstract
[Abstract] Objective To investigate the CT blood perfusion level in the cerebral cortex of patients with different degrees of Alzheimers disease (AD) and its correlation with mental behavior. Methods 89 cases of AD patients in our hospital were selected, patients were divided into the mild AD group(39 cases), the moderate AD group(32 cases), the severe AD group(18 cases) via the CDR scale. And 30 cases of healthy people were set as the control group. The correlation between TTP of different AD degree and NPI score was analyzed. Results Blood perfusion parameters TTP of different AD degrees with different interest region had significant difference with that of the control group (P < 0.05), and the TTP of the moderate and severe AD patients was significantly longer than that of the control group (P < 0.05). There were significant differences in NPI scores between patients with different degrees of AD. (P < 0.05). There was a negative correlation among mild, moderate and severe AD patients and CT cerebral blood flow parameters TTP and NPI score (P < 0.05). Conclusions Cerebral cortex ischemic changes of patients with Alzheimers disease may be the causes of mental behavior, and mental behavior damage increases with the progression of the disease.
关键词
【关键词】不同程度阿尔茨海默病;大脑异生皮质区;CT血流灌注;TTP;精神行为
KeyWord
[Keywords] Alzheimers disease; cerebral cortical areas; CT blood perfusion; TTP; mental behavior
基金项目
页码 679-681
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索方方*,陆芳芳,职蕊蕊,许雷雷. 不同程度阿尔茨海默病(AD)患者大脑异生皮质区CT血流灌注水平 及其与精神行为的相关性 [J]. 国际精神病学杂志. 2018; 45; (4). 679 - 681.

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