老年抑郁障碍与遗忘型轻度认知功能损害基于体素的形态学测量的灰质体积改变对照研究

来源 :长三角地区神经科学论坛暨浙江省神经科学学会2014年年会 | 被引量 : 0次 | 上传用户:liongliong447
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  目的 比较老年抑郁障碍、遗忘型轻度认知功能损害与正常对照的全脑灰质体积的变化.方法 入组老年抑郁障碍(LDD)患者24例、aMCI患者26例,正常对照34例,完成头颅核磁共振扫描,应用基于体素的形态学测量法(VBM)比较灰质体积差异.结果 LDD组与NC组比较左侧中央后回、左侧中央前回、左侧顶上小叶、左侧顶叶以及双侧额叶等脑区的灰质体积萎缩,差异有显著统计学意义(P<0.001,uncorrected,K≥30体素).aMCI组与NC组比较左侧颞中回、左侧额下回,右侧额中回、右侧中央前回、右侧岛叶、右侧海马及双侧颞上回、双侧海马旁回等脑区的灰质体积萎缩,差异有统计学意义(P<0.001,uncorrected,K≥30体素).aMCI组在左侧豆状核、左侧颞叶、左侧顶叶以及右侧顶叶、右侧楔前叶、右侧顶下小叶、右侧顶上小叶、右侧岛叶、右侧颞上回等脑区的灰质体积低于LDD组(P<0.001,uncorrected,K≥30体素).结论 老年抑郁障患者脑部灰质萎缩区域集中在双侧额叶、左侧顶叶,aMCI脑区灰质萎缩区域累及范围更加广泛.
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