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一组中国患者中低密度脂蛋白胆固醇与枕叶脑室周围白质高信号的关联:一项观察性研究。

Association between Low-density lipoprotein cholesterol and occipital periventricular hyperintensities in a group of Chinese patients: an observational study.

作者信息

Duan Dazhi, Shen Lin, Cui Chun, Shu Tongsheng, Zheng Jian

机构信息

Department of Neurology, Xinqiao Hospital, Third Military Medical University, No. 183, Xinqiao Street, Chongqing, 400037, China.

Department of Radiology, Xinqiao Hospital, Third Military Medical University, No. 183, Xinqiao Street, Chongqing, 400037, China.

出版信息

Lipids Health Dis. 2017 Feb 27;16(1):48. doi: 10.1186/s12944-017-0436-3.

Abstract

BACKGROUND

While occipital periventricular hyperintensities (OPVHs) are among the most common mild white matter hyperintensities, the clinical factors associated with OPVHs remain unclear. In this study, we investigated the role of clinical factors in development of pure OPVHs.

METHODS

This study included 97 patients with OPVHs and 73 healthy controls. Univariate analysis of clinical factors in OPVH patients and controls was followed by binomial logistic regression analysis to identify clinical factors significantly associated with OPVHs.

RESULT

Univariate analysis indicated that age, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and apolipoprotein-B (Apo-B) levels differed significantly between the OPVH patients and controls (p < 0.05). Age and gender were correlated with OPVH scores (p < 0.05), while LDL-C, triglycerides, Apo-B and TC were anti-correlated with OPVHs scores (p < 0.05). Multivariate analysis indicated that LDL-C is negatively correlated with OPVHs (p < 0.05), and age is positively correlated with OPVHs (p < 0.001).

CONCLUSION

In summary, LDL-C was negatively and age was positively associated with OPVHs among Chinese patients in a hospital.

摘要

背景

枕叶脑室周围高信号(OPVH)是最常见的轻度白质高信号之一,但其相关临床因素仍不明确。在本研究中,我们调查了临床因素在单纯OPVH发生中的作用。

方法

本研究纳入了97例OPVH患者和73例健康对照。对OPVH患者和对照的临床因素进行单因素分析,然后进行二项逻辑回归分析,以确定与OPVH显著相关的临床因素。

结果

单因素分析表明,OPVH患者与对照之间的年龄、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和载脂蛋白B(Apo-B)水平存在显著差异(p < 0.05)。年龄和性别与OPVH评分相关(p < 0.05),而LDL-C、甘油三酯、Apo-B和TC与OPVH评分呈负相关(p < 0.05)。多因素分析表明,LDL-C与OPVH呈负相关(p < 0.05),年龄与OPVH呈正相关(p < 0.001)。

结论

总之,在一家医院的中国患者中,LDL-C与OPVH呈负相关,年龄与OPVH呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d6/5327518/b85d0f945728/12944_2017_436_Fig1_HTML.jpg

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