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定量脑电图慢波功率与脑小血管病患者认知功能障碍相关性分析OACSTPCD

Correlation between slow wave power on quantitative electroencephalography and cognitive dysfunction in pa-tients with cerebral small vessel disease

中文摘要英文摘要

目的 探究定量脑电图(QEEG)慢波功率δ/α比值(DAR)和δ功率值与脑小血管病(CSVD)患者认知功能障碍有相关性.方法 收集在2022年1月—2023年10月赤峰学院附属医院神经内科脑小血管病患者80例,对所有入组患者进行蒙特利尔认知量表(MoCA)评估,并完成定量脑电图检查,计算DAR值和δ功率值,进行相关统计学分析.结果 脑小血管病认知功能障碍组患者40例,平均受教育年限(8.50±2.00)年,平均年龄(62.38±6.32)岁,女性8例(占20%),男性32例(占80%);脑小血管病认知功能正常组患者40例,平均受教育年限(8.00±4.00)年,平均年龄(63.60±7.14)岁,女性10例(25%),男性30例(75%).认知功能障碍组与认知功能正常组在教育年限、年龄以及性别等方面无明显差异(P>0.05),实验组与对照组MoCA量表评分分别为8~24(14.00±9.00)分和26~28(26.00±1.00)分,其差异有统计学意义(Z=-7.822,P<0.05).认知功能障碍组DAR值及δ波功率值均显著高于对照组(均P<0.05);脑小血管病认知障碍与QEEG慢波功率DAR值及δ功率值有相关性,且与DAR值、δ波功率值均呈负相关(P<0.05).结论 脑小血管病患者定量脑电图DAR和δ功率值与认知功能障碍存在相关性,提示DAR和δ功率值可以作为脑小血管病患者认知功能障碍筛查的指标.

Objective To investigate the correlation of slow wave power δ/α ratio(DAR)and δ power value on quantitative electroencephalography(QEEG)with cognitive dysfunction in patients with cerebral small vessel disease(CSVD).Methods A total of 80 patients with CSVD who were treated in Department of Neurology,Affiliated Hospital of Chifeng University,from January 2022 to October 2023 were enrolled and evaluated using Montreal Cognitive Assess-ment(MoCA)scale,and QEEG was performed to calculate DAR and δ power value.Related statistical analyses were per-formed.Results There were 40 CSVD patients in the cognitive dysfunction group,with average education years of(8.50±2.00)and a mean age of(62.38±6.32)years,among whom there were 8 female patients(20%)and 32 male patients(80%).There were 40 CSVD patients in the normal cognitive function in group,with average education years of(8.00±4.00)and a mean age of(63.60±7.14)years,among whom there were 10 female patients(25%)and 30 male patients(75%).There were no significant differences in years of education,age,and sex between the cognitive dysfunction group and the normal cognitive function group(P>0.05),while there was a significant difference in MoCA score between the cog-nitive dysfunction group and the normal cognitive function group[8-24(14±9)points and 26-28(26.00±1.00)points,Z=-7.822,P<0.05].The cognitive dysfunction group had significantly higher DAR and δ wave power values than the nor-mal cognitive function group(P<0.05).Cognitive dysfunction in CSVD was negatively correlated with slow wave power DAR and δ power value on QEEG(P<0.05).Conclusion DAR and δ power values on QEEG are correlated with cogni-tive dysfunction in patients with CSVD,suggesting that DAR and δ power values can be used as indicators for identifying cognitive dysfunction in patients with CSVD.

谢树帆;李国丽

内蒙古民族大学赤峰临床医学院神经内科,内蒙古赤峰 024000赤峰学院附属医院神经内科,内蒙古 赤峰 024000

临床医学

定量脑电图脑小血管病认知功能障碍δ/α比值

Quantitative electroencephalographySmall cerebral vessel diseaseCognitive dysfunctionδ/α ratio

《中风与神经疾病杂志》 2024 (005)

426-429 / 4

赤峰市自然基金项目(SZR21016)

10.19845/j.cnki.zfysjjbzz.2024.0082

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