临床医学工程2024,Vol.31Issue(4) :471-472.DOI:10.3969/j.issn.1674-4659.2024.04.0471

血清Lp-PLA2、Aβ1-42联合Fazekas评分对脑小血管病认知障碍的预测价值

Predictive Value of Serum Lp-PLA2,Aβ1-42 Combined with Fazekas Score for Cognitive Impairment of Cerebral Small Ves-sel Disease

王丹慧 崔滨 孙丽霞 王松林 彭斐斐 于江涛 王孟乐 许自强
临床医学工程2024,Vol.31Issue(4) :471-472.DOI:10.3969/j.issn.1674-4659.2024.04.0471

血清Lp-PLA2、Aβ1-42联合Fazekas评分对脑小血管病认知障碍的预测价值

Predictive Value of Serum Lp-PLA2,Aβ1-42 Combined with Fazekas Score for Cognitive Impairment of Cerebral Small Ves-sel Disease

王丹慧 1崔滨 2孙丽霞 1王松林 1彭斐斐 1于江涛 1王孟乐 1许自强1
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作者信息

  • 1. 许昌市中心医院神经内科,河南许昌 461000
  • 2. 航空总医院神经外科,北京 100012
  • 折叠

摘要

目的 探讨血清Lp-PLA2、Aβ1-42联合Fazekas评分对脑小血管病患者认知障碍的预测价值.方法 选取2021年3月至2022年12月我院收治的94例脑小血管病患者,根据蒙特利尔认知评估量表评分分为认知障碍组和认知正常组,比较两组的Lp-PLA2、Aβ1-42水平以及Fazekas评分,分析Lp-PLA2、Aβ1-42水平联合Fazekas评分预测脑小血管病患者发生认知障碍的效能.结果 认知障碍组的Lp-PLA2、Aβ1-42水平及Fazekas评分均高于认知正常组(P<0.05).ROC曲线显示,Lp-PLA2、Aβ1-42水平联合Fazekas评分预测脑小血管病患者认知障碍的效能高于单一指标(P<0.05).结论 血清Lp-PLA2、Aβ1-42水平联合Fazekas评分预测脑小血管病患者发生认知障碍的应用价值高.

Abstract

Objective To explore the predictive value of serum Lp-PLA2,Aβ1-42 combined with Fazekas score for cognitive impairment in patients with cerebral small vessel disease.Methods 94 patients with cerebral small vessel disease admitted to our hospital from March 2021 to December 2022 were selected and divided into the cognitive impairment group and the cognitive normal group according to the Montreal Cognitive Assessment Scale score.The levels of Lp-PLA2 and Aβ1-42,and the Fazekas score were compared between the two groups,and the efficacy of levels of Lp-PLA2 and Aβ1-42 combined with Fazekas score in predicting the occurrence of cognitive impairment in patients with cerebral small vessel disease was analyzed.Results The levels of Lp-PLA2 and Aβ1-42,and the Fazekas score in the cognitive impairment group were higher than those in the cognitive normal group(P<0.05).ROC curve showed that the efficacy of levels of Lp-PLA2 and Aβ1-42 combined with Fazekas score in predicting cognitive impairment in patients with cerebral small vessel disease was higher than that of single index(P<0.05).Conclusions The combination of serum Lp-PLA2 and Aβ1-42 levels and Fazekas score in predicting the occurrence of cognitive impairment in patients with cerebral small vessel disease has high application value.

关键词

Lp-PLA2/Aβ1-42/Fazekas评分/脑小血管病/认知障碍

Key words

Lp-PLA/Aβ1-42/Fazekas score/Cerebral small vessel disease/Cognitive impairment

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出版年

2024
临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
参考文献量7
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