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帕金森病患者出现冻结步态的危险因素分析

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目的 探讨帕金森病(PD)患者出现冻结步态(FOG)的危险因素。方法 选取2019年7月至2022年7月中日友好医院收治的52例PD患者为研究对象,根据是否合并FOG将研究对象分为FOG组(合并FOG,14例)和非FOG组(未合并FOG,38例)。比较分析非FOG组与FOG组患者的临床特征与影像学特征。比较分析非FOG组与FOG组患者的基底前脑功能连接。采用多因素logistic回归方法分析PD患者出现FOG的独立影响因素。结果 FOG组患者的国际运动障碍学会统一帕金森病评定量表Ⅱ(MDS-UPDRS Ⅱ)评分高于非FOG组,差异有统计学意义(P<0。05),且Meynert基底核(Ch4)与双侧中扣带回、中央前回及辅助运动区的功能连接低于非FOG组。多因素logistic回归分析结果显示,MDS-UPDRS Ⅱ评分、Ch4功能连接是PD患者出现FOG的独立影响因素(P<0。05)。结论 MDS-UPDRS Ⅱ评分升高、Ch4功能连接减弱为PD患者出现FOG的独立影响因素。
Risk factors of freezing of gait in patients with Parkinson's disease
Objective To investigate the risk factors of freezing of gait(FOG)in patients with Parkinson's disease(PD).Method 52 PD patients admitted to China-Japan Friendship Hospital from July 2019 to July 2022 were selected as the research objects,and the research objects were divided into FOG group(with FOG,14 cases)and non-FOG group(without FOG,38 cases)according to whether with FOG.The clinical and imaging characteristics between non-FOG group and FOG group were compared and analyzed.The functional connections of basal forebrain were compared between non-FOG group and FOG group.Multivariate logistic regression method was used to analyze the independent influencing factors of FOG in PD patients.Result The MDS-UPDRS Ⅱ score in FOG group were higher than that in non-FOG group,with statistical significance(P<0.05)and the functional connections between Ch4 and bilateral middle cingulate gyrus,anterior central gyrus and auxiliar motor area were lower than those in non-FOG group.Multivariate logistic regression analysis showed that MDS-UPDRS Ⅱ score and Ch4 functional connection were independent influencing factors for FOG in PD patients(P<0.05).Conclusion Increased MDS-UPDRS Ⅱ score and decreased Ch4 functional connectivity were independent influencing factors for FOG in PD patients.

Parkinson's diseaseFreezing of gaitFunctional connectionRisk factors

周知、于洪伟、焦劲松、谢晟、金淼

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中日友好医院神经内科,北京 100029

中日友好医院放射诊断科,北京 100029

帕金森病 冻结步态 功能连接 危险因素

国家自然科学基金青年科学基金项目

82001360

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(3)
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