Volume 20 Issue 2
Feb.  2022
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WANG Wei, CAO Qing-hua, SUN Guang-ling, SU Hang. Correlation analysis of white matter lesions and motor symptoms and non-motor symptoms in Parkinson's patients[J]. Chinese Journal of General Practice, 2022, 20(2): 237-239. doi: 10.16766/j.cnki.issn.1674-4152.002321
Citation: WANG Wei, CAO Qing-hua, SUN Guang-ling, SU Hang. Correlation analysis of white matter lesions and motor symptoms and non-motor symptoms in Parkinson's patients[J]. Chinese Journal of General Practice, 2022, 20(2): 237-239. doi: 10.16766/j.cnki.issn.1674-4152.002321

Correlation analysis of white matter lesions and motor symptoms and non-motor symptoms in Parkinson's patients

doi: 10.16766/j.cnki.issn.1674-4152.002321
Funds:

 2020KY875

  • Received Date: 2021-04-17
    Available Online: 2022-03-04
  •   Objective  To investigate the effect of white matter lesion (WML) on motor and non-motor symptoms in patients with Parkinson disease (PD).  Methods  Total 148 patients with primary PD from the Affiliated Hospital of Ningbo University School of Medicine from May 2017 to April 2020 were selected and divided into WML group (83 cases) and non-WML group (65 cases) according to whether they were accompanied by WM. According to Fazekas score, there were 65 cases in WML 0 group, 25 cases in grade 1 group, 30 cases in grade 2 group and 28 cases in grade 3 group. The general data of WML group and non-WML group, PD score scale Ⅲ (UPDRS Ⅲ) and PD non-motor symptom questionnaire (NMSQ) of different WML grading groups were compared, and the relationship between WML and PD patients with motor symptoms and non-motor symptoms was analyzed by Logistic regression.  Results  The UPDRS Ⅲ score of the WML group was (25.52±4.24) points, which was higher than the (18.65±4.12) points of the non-WML group (t=9.905, P < 0.05), and the degree of dyskinesia was more serious than that of the non-WML group (χ2=50.776, P < 0.05). The NMSQ score of the non-WML group was (12.65±1.32) points, the NMSQ score of the WML group was (17.25±3.12) points, and the NMSQ score of the WML group was higher than that of the non-WML group (t=11.126, P < 0.05). The results of multivariate regression analysis showed that the higher the UPDRS Ⅲ score, the higher the proportion of severe H &Y staging, and the higher the NMSQ score were all risk factors for PD patients with severe WML staging (P < 0.05).  Conclusion  WML can increase PD motor symptoms and non-motor symptoms, and the degree of risk is related to the WML classification.

     

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  • [1]
    王国瑜, 汪洋, 石华, 等. 缺血性脑卒中合并脑白质疏松患者预后分析及不同病变程度对认知功能的影响[J]. 中国临床医生杂志, 2020, 48(6): 677-680. doi: 10.3969/j.issn.2095-8552.2020.06.016
    [2]
    韩鲜艳, 闫福岭. 血管性认知障碍与脑白质病变相关性研究进展[J]. 东南大学学报(医学版), 2016, 35(3): 436-439. doi: 10.3969/j.issn.1671-6264.2016.03.032
    [3]
    冯丽, 叶娜, 王金芳, 等. 脑白质疏松患者病变部位与认知功能的相关性[J]. 中华行为医学与脑科学杂志, 2018, 27(1): 26-30. doi: 10.3760/cma.j.issn.1674-6554.2018.01.006
    [4]
    中华医学会神经病学分会帕金森及运动学组. 中国医师协会神经内科医师分会帕金森病及运动障碍专业. 中国帕金森病的诊断标准(2016版)[J]. 中华神经科杂志, 2016, 49(4): 268-271. doi: 10.3760/cma.j.issn.1006-7876.2016.04.002
    [5]
    PPRINS N D, SCHELTENS P. White matter hyperintensities, cognitive impairment and dementia: An update[J]. Nat Rev Neurol, 2015, 11(3): 157-165. doi: 10.1038/nrneurol.2015.10
    [6]
    PARASHOS S A, LUO S, BIGLAN K M, et al. Measuring disease progression in early Parkinson disease: The National Institutes of Health Exploratory Trials in Parkinson Disease (NET-PD) experience[J]. JAMA Neurol, 2014, 71(6): 710-716. doi: 10.1001/jamaneurol.2014.391
    [7]
    AMBONI M, STOCCHI F, ABBRUZZESE G, et al. Prevalence and associated features of self-reported freezing of gait in Parkinson disease: The DEEP FOG study[J]. Parkinsonism Relat Disord, 2015, 21(6): 644-649. doi: 10.1016/j.parkreldis.2015.03.028
    [8]
    CHAUDHURI K R, MARTINEZ-MARTIN P, SCHAPIRA A H, et al. International multicenter pilot study of the first comprehensive self-completed nonmotor symptoms questionnaire for Parkinson's disease: The NMSQuest study[J]. Mov Disord, 2006, 21(7): 916-923. doi: 10.1002/mds.20844
    [9]
    郑慧芬. 前沿: 帕金森病治疗新的关注点[J]. 实用老年医学, 2019, 33(11): 1041, 1045. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201911002.htm
    [10]
    冯丽, 温宏峰, 方建伟, 等. 健康老年人脑白质病变体积与认知障碍的关系[J]. 中风与神经疾病杂志, 2018, 35(8): 706-709. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFSJ201808007.htm
    [11]
    冯丽, 贾伟丽, 叶娜, 等. 脑白质病变患者不同程度分级与不同年龄组认知障碍临床特点的关系[J]. 中华老年医学杂志, 2018, 37(8): 851-854. doi: 10.3760/cma.j.issn.0254-9026.2018.08.004
    [12]
    汪兰, 王辉. 颅脑磁共振弥散张量成像在老年血管性脑白质疏松认知障碍中的应用[J]. 中国老年学杂志, 2020, 40(5): 926-929. doi: 10.3969/j.issn.1005-9202.2020.05.011
    [13]
    王云霞, 许经纬, 何超, 等. 脑白质病变的影响因素及对认知功能的影响分析[J]. 解放军医学院学报, 2019, 40(5): 432-436. doi: 10.3969/j.issn.2095-5227.2019.05.007
    [14]
    奚继明, 左莉, 冯丽, 等. 老年脑白质病变患者120例的认知功能障碍状况及其相关性研究[J]. 解放军预防医学杂志, 2019, 37(12): 79-80. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYX201912085.htm
    [15]
    PIETRACUPA S, SUPPA A, UPADHYAY N, et al. Freezing of gait in Parkinson's disease: Gray and white matter abnormalities[J]. J Neurol, 2018, 265(1): 52-62. doi: 10.1007/s00415-017-8654-1
    [16]
    MALEK N, LAWTON M A, SWALLOW D M, et al. Vascular disease and vascular risk factors in relation to motor features and cognition in early Parkinson's disease[J]. Mov Disord, 2016, 31(10): 1518-1526. doi: 10.1002/mds.26698
    [17]
    彭泽艳, 董舒阳, 周华东. 脑白质病变与老年帕金森病患者运动功能障碍的相关性研究[J]. 中华全科医学, 2018, 16(5): 693-696. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201805005.htm
    [18]
    鞠强国, 周仁华, 徐建红, 等. 帕金森病脑白质结构改变与非运动症状的关系及相关危险因素分析[J]. 中西医结合心脑血管病杂志, 2019, 17(6): 936-938. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201906039.htm
    [19]
    周华, 王锋, 沈蓉, 等. 血浆IL-17A与脑白质病变及血管性认知障碍的相关性研究[J]. 中国实用神经疾病杂志, 2019, 22(1): 6-11. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ201901002.htm
    [20]
    张学艳, 樊峰萍, 张丽, 等. 不同程度脑白质病变对急性腔隙性脑梗死患者认知功能的影响[J]. 河北医药, 2018, 40(10): 1464-1468. doi: 10.3969/j.issn.1002-7386.2018.10.005
    [21]
    罗彦妮, 覃冬华, 欧世宁, 等. 缺血性脑卒中脑白质病变对认知功能及预后影响的研究[J]. 广西医科大学学报, 2018, 35(4): 506-508. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201804024.htm
    [22]
    张丽, 张学艳, 赵晓红, 等. 脑小血管病患者脑白质病变与认知功能障碍的关系[J]. 现代中西医结合杂志, 2018, 27(15): 1640-1642. doi: 10.3969/j.issn.1008-8849.2018.15.013
    [23]
    李筱瑜, 王粤, 沈红卫. 脑白质疏松与帕金森病患者认知功能损害的相关性研究[J]. 中国医学前沿杂志(电子版), 2017, 9(5): 62-66. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQY201705016.htm
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