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血液透析患者下肢外周动脉疾病与轻度认知障碍的关系

Relationship between Lower Extremity Peripheral Arterial Disease and Mild Cognitive Impairment in Hemodialysis Patients.

作者信息

Nishimura Akinori, Hidaka Sumi, Kawaguchi Takayuki, Watanabe Aki, Mochida Yasuhiro, Ishioka Kunihiro, Mwanatanbwe Milanga, Ohtake Takayasu, Kobayashi Shuzo

机构信息

Rehabilitation Unit, Shonan Kamakura General Hospital, Okamoto 1370_1, Kamakura 247-8533, Japan.

Kidney Disease and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.

出版信息

J Clin Med. 2023 Mar 9;12(6):2145. doi: 10.3390/jcm12062145.

DOI:10.3390/jcm12062145
PMID:36983147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10058216/
Abstract

The link between arterial stiffness and mild cognitive impairment (MCI) in patients on hemodialysis (HD) has been receiving increased attention. The purpose of this study was to investigate the relationship between cognitive function and ankle brachial index (ABI) and toe brachial index (TBI) values in patients on hemodialysis. Of the 100 participants (mean age: 67.9 years; average history of hemodialysis: 7.3 years). Of these, 46.0% had MCI. The MoCA-J scores were significantly higher in the ABI ≥ 1.06 group. However, the MoCA-J scores divided into the two groups according to the TBI cutoff value were not significantly different. In a multiple regression model with the MoCA-J scores as the objective variable, the ABI was a significantly associated factor. This study indicates that a low ABI might be associated with MCI.

摘要

血液透析(HD)患者的动脉僵硬度与轻度认知障碍(MCI)之间的联系日益受到关注。本研究旨在探讨血液透析患者认知功能与踝臂指数(ABI)和趾臂指数(TBI)值之间的关系。100名参与者(平均年龄:67.9岁;平均血液透析史:7.3年)。其中,46.0%患有MCI。ABI≥1.06组的蒙特利尔认知评估量表日本版(MoCA-J)得分显著更高。然而,根据TBI临界值分为两组的MoCA-J得分并无显著差异。在以MoCA-J得分为目标变量的多元回归模型中,ABI是一个显著相关因素。本研究表明,低ABI可能与MCI有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/10058216/7b2348770cf5/jcm-12-02145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/10058216/22d8e980200c/jcm-12-02145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/10058216/7b2348770cf5/jcm-12-02145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/10058216/22d8e980200c/jcm-12-02145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/10058216/7b2348770cf5/jcm-12-02145-g002.jpg

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本文引用的文献

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Sci Rep. 2022 Mar 9;12(1):3850. doi: 10.1038/s41598-022-07550-4.
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Peripheral artery disease at the time of dialysis initiation and mortality: a prospective observational multicenter study.透析开始时的外周动脉疾病与死亡率:一项前瞻性观察性多中心研究。
BMJ Open. 2020 Dec 31;10(12):e042315. doi: 10.1136/bmjopen-2020-042315.
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Evaluation of Screening Tests for Cognitive Impairment in Patients Receiving Maintenance Hemodialysis.
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J Am Soc Nephrol. 2020 Apr;31(4):855-864. doi: 10.1681/ASN.2019100988. Epub 2020 Mar 4.
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A Low Ankle-Brachial Index and High Brachial-Ankle Pulse Wave Velocity Are Associated with Poor Cognitive Function in Patients Undergoing Hemodialysis.低踝臂指数和高肱踝脉搏波速度与血液透析患者认知功能不良相关。
Dis Markers. 2019 Aug 19;2019:9421352. doi: 10.1155/2019/9421352. eCollection 2019.
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Cognitive Impairment in CKD: Pathophysiology, Management, and Prevention.慢性肾脏病相关认知障碍:发病机制、管理和预防。
Am J Kidney Dis. 2019 Dec;74(6):782-790. doi: 10.1053/j.ajkd.2019.05.017. Epub 2019 Aug 1.
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Mild cognitive impairment in maintenance hemodialysis patients: a cross-sectional survey and cohort study.维持性血液透析患者的轻度认知障碍:横断面调查和队列研究。
Clin Interv Aging. 2018 Dec 20;14:27-32. doi: 10.2147/CIA.S178854. eCollection 2019.
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Investigating the Relationship between Cerebral Blood Flow and Cognitive Function in Hemodialysis Patients.探讨血液透析患者脑血流与认知功能的关系。
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