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[儿童局部脑血流量——儿童期脑血流量的正常值及局部分布]

[Regional cerebral blood flow in children--normal value and regional distribution of cerebral blood flow in childhood].

作者信息

Ogawa A, Nakamura N, Sugita K, Sakurai Y, Kayama T, Wada T, Suzuki J

出版信息

No To Shinkei. 1987 Feb;39(2):113-8.

PMID:3828145
Abstract

The changes in CBF and rCBF through the entire age range include the rapid period in childhood was reported. Sixteen children between the ages of 1 and 15 and 14 adults were studied. These 30 subjects were either volunteers of out-patients without CT and EEG abnormalities. rCBF was measured by the 133Xe intravenous injection method using Varmet rCBF analyzer. Ther relationship between age and CBF, the correlation coefficient was calculated based on the regression equations and the regression curve with the highest correlation was chosen. For the analysis of rCBF, he mean rCBF values (ISI) of 3 channels corresponding to the frontal, temporal, parietal and occipital lobes were expressed as a percentage of the hemispheric CBF. The hemispheric blood flow (ISI and CBF gray) of children less than 5 years of age was approximately twice that found in adults. This value decreased rapidly with age and in the 10-15 years the blood flow was approximately 1.3-fold that of adults. Thereafter, there was a slow decrease and a negative correlation with age was found. The decrease showed the correlation on the following equations; y = 146.5 - 58.5 log x. (r = -0.903) for ISI and log y = 2.26 - 0.29 log x. (r = -0.881) for CBF gray, which was statistically significant. In contrast, the CBF white showed a slightly higher value in the 1-2 years old children, but thereafter the CBF did not show a notable decreases with age. Through the entire age range, a best fit for the Fw values was found with : y = 18.3 + 37.5/x. (r = 0.798), which was also statistically significant.

摘要

据报道,在整个年龄范围内,脑血流量(CBF)和局部脑血流量(rCBF)的变化包括儿童期的快速阶段。研究了16名年龄在1至15岁之间的儿童和14名成年人。这30名受试者均为无CT和脑电图异常的门诊志愿者或患者。使用Varmet rCBF分析仪通过静脉注射133Xe的方法测量rCBF。计算年龄与CBF之间的关系,并根据回归方程计算相关系数,选择相关性最高的回归曲线。对于rCBF分析,将对应于额叶、颞叶、顶叶和枕叶的3个通道的平均rCBF值(ISI)表示为半球CBF的百分比。5岁以下儿童的半球血流量(ISI和CBF灰质)约为成年人的两倍。该值随年龄迅速下降,在10至15岁时,血流量约为成年人的1.3倍。此后,下降缓慢,并发现与年龄呈负相关。下降情况符合以下方程:ISI为y = 146.5 - 58.5 log x.(r = -0.903),CBF灰质为log y = 2.26 - 0.29 log x.(r = -0.881),具有统计学意义。相比之下,1至2岁儿童的CBF白质值略高,但此后CBF并未随年龄显著下降。在整个年龄范围内,发现Fw值的最佳拟合方程为:y = 18.3 + 37.5/x.(r = 0.798),也具有统计学意义。

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