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老年患者脑萎缩的影响因素研究

高智玉 刁加桂 杨团峰 高旭光

中国全科医学2018,Vol.21Issue(9):1036-1041,6.
中国全科医学2018,Vol.21Issue(9):1036-1041,6.DOI:10.3969/j.issn.1007-9572.2018.00.030

老年患者脑萎缩的影响因素研究

Risk Factors Associated with Brain Atrophy in Elderly Patients

高智玉 1刁加桂 2杨团峰 1高旭光3

作者信息

  • 1. 102206北京市,北京大学国际医院神经内科
  • 2. 255100 山东省淄博市淄川区医院神经内科
  • 3. 102206北京市,北京大学人民医院神经内科
  • 折叠

摘要

Abstract

Objective To explore the related influencing factors associated with brain atrophy (BA) in elderly patients. Methods The enrolled participants were patients aged ≥ 60 years old who received inpatient treatment in Department of Neurology, Zichuan District Hospital from October 2013 to October 2014. All the patients measured the blood glucose (Glu) , triglyceride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) , and based on the measurement results received hypoglycemic and lipid-lowering therapies, as well as underwent brain MRI. The prevalence of BA was assessed in accordance with the brain MRI results. Those with BA and those without were assigned to BA group, and non-BA group, respectively. Baseline characteristics such as gender, age, diagnosis as well as laboratory findings were compared between the two groups. Ordinal logistic regression analysis was carried out to explore the factors associated with BA scores. Results Two groups demonstrated significant differences in the baseline characteristics (P<0.05) (except TG and HDL-C). Ordinal Logistic regression analysis showed that sex〔OR=2.776, 95%CI (1.754, 4.393), P<0.05〕, age〔OR=1.142, 95%CI(1.108, 1.176), P<0.05〕, diagnosis 〔OR=3.717,95%CI(1.570,8.811), P<0.05〕,and levels of LDL-C〔OR=0.510,95%CI (0.304, 0.856), P<0.05〕were the associated factors of BA scores in elderly patients. Conclusion Male, older age, history of ischemic stroke, and decreased LDL-C level may be the independent risk factors for high BA score.

关键词

老年人/脑疾病/脑萎缩/血糖/血脂异常/脂蛋白类,LDL/影响因素分析

Key words

Aged/Brain diseases/Brain atrophy/Blood glucose/Dyslipidemias/Lipoproteins,LDL/Root cause analysis

分类

医药卫生

引用本文复制引用

高智玉,刁加桂,杨团峰,高旭光..老年患者脑萎缩的影响因素研究[J].中国全科医学,2018,21(9):1036-1041,6.

中国全科医学

OA北大核心CSTPCD

1007-9572

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