首页|HIV感染与脑白质高信号的相关性及危险因素分析

HIV感染与脑白质高信号的相关性及危险因素分析

扫码查看
目的 探讨HIV感染对脑白质高信号(WMH)的影响及危险因素.方法 收集2016年1月至2023年12月确诊为HIV感染并行颅脑磁共振(MRI)检查的患者266例为观察组;并收集行MRI检查非HIV感染者282例为对照组,比较两组WMH发生情况、一般资料及各项指标.结果 观察组WMH发病率高于对照组(P<0.05);通过单因素分析发现,HIV阳性患者发生WMH的年龄、中性粒细胞百分比、淋巴细胞百分比、全身免疫炎症指数(SII)均高于无WMH患者(P<0.05);Logistic回归分析结果显示,年龄、中性粒细胞百分比、淋巴细胞百分比、SII是HIV感染者发生WMH的独立危险因素(P<0.05).结论 HIV感染者可能更容易发生WMH,年龄、中性粒细胞百分比、淋巴细胞百分比、SII是影响HIV感染者发生WMH的危险因素.
Objective To investigate the effects of human immunodeficiency virus(HIV)infection on white matter hyperintensity(WMH)and its risk factors.Methods All 266 patients diagnosed with HIV infection in our hospital from January 2016 to December 2023 with brain magnetic resonance examination(MRI)were collected as the study group.In addition,282 cases of non-HIV infected patients who underwent MRI were collected as the control group,and there was no difference in demographic data between the two groups.The occurrence of WMH,general information and indexes of all patients were observed and recorded.Results The incidence of WMH in the HIV-positive group was higher than that in the negative group(P<0.05).Univariate analysis showed that the age,neutrophil percentage,lymphocyte percentage and systemic immunoinflammatory index(SII)of HIV-positive patients with WMH were higher than those without WMH(P<0.05).Logistic regression analysis showed that age,neutrophil percentage,lymphocyte percentage and SII were independent risk factors for WMH in HIV-infected patients(P<0.05).Conclusion HIV-infected persons may be more prone to WMH,and age,neutrophil percentage,lymphocyte percentage and SII are risk factors for WMH in HIV-infected persons.

HIVMagnetic resonance imagingWhite matter hyperintensityNeutrophil percentage and lymphocyte percentageSystemic immune inflammation indexRisk factors

宣伟玲、王秀娟、张燕、周阳科、陈祖华、丁忠祥

展开 >

310053 浙江中医药大学第四临床医学院

310023 杭州市西溪医院

310003 杭州市第一人民医院

人类免疫缺陷病毒 核磁共振影像 脑白质高信号 中性粒细胞百分比、淋巴细胞百分比 全身免疫炎症指数 危险因素

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(3)
  • 13