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[中青年脑动脉粥样硬化患者脑循环血液充盈不全初始表现的临床生理特征]

[Clinico-physiologic features of the initial manifestations of incomplete blood-filling of the cerebral circulation in young and middle-age cerebral atherosclerosis patients].

作者信息

Mints A Ia, Karaban' I N

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(8):1132-6.

PMID:6624336
Abstract

A combined study of the function of the central nervous system was carried out in 250 young and middle-aged patients (40-59 years) presenting initial clinical manifestations of cerebral vascular atherosclerosis. The age of the subjects allowed the authors to conditionally refer them to a group of patients with early cerebral atherosclerosis (ECA). The cerebral bloodflow was studied by examining such parameters as 133Xe clearance, functional REG, EEG, orientation reaction and visual evoked potentials: the findings obtained made it possible to specify the role of hemodynamic disorders in the formation of neurologic defect at this stage of the disease. The data presented point to a considerable acceleration of the aging process in patients with ECA, i.e., the so-called premature aging, manifested in the fact that such patients appear to be 10-15 years older than their age as judged by many age parameters. The authors recommend wider application of functional methods for the examination of the nervous system and hemodynamics aimed at determining the orientation and tactics of therapeutic and prophylactic measures with a view of preventing the progression and complications of the disease.

摘要

对250例出现脑血管动脉粥样硬化初始临床表现的中青年患者(40 - 59岁)进行了中枢神经系统功能的综合研究。受试者的年龄使作者能够将他们有条件地归为早期脑动脉粥样硬化(ECA)患者组。通过检测诸如133Xe清除率、功能性脑电阻抗图(REG)、脑电图(EEG)、定向反应和视觉诱发电位等参数来研究脑血流量:所获得的结果使得能够明确在疾病的这一阶段血流动力学紊乱在神经功能缺损形成中的作用。所呈现的数据表明ECA患者的衰老过程显著加速,即所谓的早衰,表现为从许多年龄参数判断,这些患者看起来比他们的实际年龄大10 - 15岁。作者建议更广泛地应用功能性方法来检查神经系统和血流动力学,以确定治疗和预防措施的方向和策略,从而预防疾病的进展和并发症。

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Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(8):1132-6.
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