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[健康受试者的脑血流量与脑大小——对年龄和性别的敏感性]

[Cerebral blood flow and brain size in healthy subjects--sensitivity to age and gender].

作者信息

Komatani A, Yamaguchi K, Kera M

机构信息

Department of Radiology, Yamagata University School of Medicine, Japan.

出版信息

No To Shinkei. 1990 Sep;42(9):889-93.

PMID:2245085
Abstract

Cerebral blood flow was measured in 56 healthy subjects who ranged in age from 1.3 to 80 years. The Xe-133 inhalation method with ring type single photon emission computed tomography (SPECT); HEADTOME was used. The cerebral blood flow were calculated by the method of Kanno & Lassen. Then the value were corrected for end-tidal CO2 concentration that had an excellent correlation with PaCO2 and was one of the most sensitive factors to change cerebral blood flow. The brain-size index was obtained by measuring the lateral and antero-posterior diameters from the SPECT images. The mean cerebral blood flow in children less than five years of age was 90-100 ml/100 g/min that was approximately twice that found in adults. The mean cerebral blood flow decreased rapidly with age until 24.0 years of age in male and 21.7 in female. Thereafter, there was a slow decrease and a negative correlation with age was found. In adults, the mean value of the cerebral blood flow of females was slightly higher than that of males (p less than 0.01). In contrast, the brain-size index of females was significantly smaller than that in males (p less than 0.01). There was a significant negative correlation to an inverse proportionality of cerebral blood flow and brain-size index (p less than 0.002). But, there was no significant correlation between total flow index that obtained to multiplied mean flow by brain-size index and brain-size index or gender.

摘要

对56名年龄在1.3岁至80岁之间的健康受试者进行了脑血流量测量。采用环形单光子发射计算机断层扫描(SPECT);HEADTOME的Xe - 133吸入法。脑血流量采用Kanno和Lassen的方法计算。然后根据与动脉血二氧化碳分压(PaCO2)具有良好相关性且是改变脑血流量最敏感因素之一的呼气末二氧化碳浓度对数值进行校正。通过测量SPECT图像的左右径和前后径获得脑大小指数。5岁以下儿童的平均脑血流量为90 - 100 ml/100g/min,约为成年人的两倍。平均脑血流量随年龄迅速下降,男性在24.0岁、女性在21.7岁之前下降明显。此后,下降速度减缓,且与年龄呈负相关。在成年人中,女性脑血流量的平均值略高于男性(p < 0.01)。相比之下,女性的脑大小指数显著小于男性(p < 0.01)。脑血流量与脑大小指数呈显著负相关,呈反比例关系(p < 0.002)。但是,通过平均血流量乘以脑大小指数得到的总流量指数与脑大小指数或性别之间无显著相关性。

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