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[帕金森病患者尿酸及认知相关因素的研究]

[Study on uric acid and the related factors associated with cognition in the patients with Parkinson's disease].

作者信息

Wang Xiao-jun, Luo Wei-feng, Wang Li-jun, Mao Cheng-jie, Wang Lan, Liu Chun-feng

机构信息

Department of Neurology, Second Affgiliated Hospital, Soochow University, Suzhou, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Jun 16;89(23):1633-5.

Abstract

OBJECTIVE

To explore the relation of cognition and uric acid in Parkinson's disease and analyze the related factors of cognition.

METHODS

A total of 104 patients with Parkinson's disease were divided into two groups: those with cognitive impairment and those without. Every patient was subject to the cognitive and depression function assessment. And the fasting blood uric acid samples. Then the serum uric acid levels of two groups and analyze the related factors of the cognitive with multiple linear.

RESULTS

(1) The serum uric acid level in the group with cognitive impairment (249 micromol/L +/- 59 micromol/L) is lower than that without cognitive impairment (323 micromol/L +/- 52 micromol/L), and there was marked statistical significance (t = -6.78, P < 0.001) (2) In PD patients, the cognitive scores correlated with serum uric acid levels, education, age, H-Y stages and the depression levels ,but didn't with gender,disease duration, smoking and BMI.

CONCLUSION

(1) There was correlation between the serum uric acid and the cognitive impairment. Low serum uric acid level predicted worse cognitive scores. (2) In PD, the change of the cognitive function was impacted by their education, age, H-Y stages and depression levels.

摘要

目的

探讨帕金森病认知与尿酸的关系,并分析认知的相关因素。

方法

将104例帕金森病患者分为两组:认知障碍组和非认知障碍组。对每位患者进行认知和抑郁功能评估,并采集空腹血尿酸样本。然后比较两组的血清尿酸水平,并采用多元线性分析认知的相关因素。

结果

(1)认知障碍组血清尿酸水平(249微摩尔/升±59微摩尔/升)低于非认知障碍组(323微摩尔/升±52微摩尔/升),差异有统计学意义(t=-6.78,P<0.001)。(2)在帕金森病患者中,认知评分与血清尿酸水平、教育程度、年龄、H-Y分期及抑郁程度相关,与性别、病程、吸烟及体重指数无关。

结论

(1)血清尿酸与认知障碍之间存在相关性。低血清尿酸水平预示着较差的认知评分。(2)在帕金森病中,认知功能的变化受教育程度、年龄、H-Y分期及抑郁程度的影响。

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