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目的加深对老年脑白质疏松症的认识。方法我科2008~2010年治疗60例老年脑白质疏松症患者,均符合LotsBarnett诊断标准,并根据长谷川简易智力量表(HDS)进行智能测试。结果本组病例大多缓慢起病,进行性痴呆,可有情绪不稳、单瘫、偏瘫、动作缓慢、共济失调、构音障碍、吞咽困难等,CT及MRI检查可有Ⅲ~Ⅳ度的白质疏松、脑萎缩、皮质下腔隙性梗死。结论老年脑白质疏松症患者都有Ⅲ~Ⅳ度的白质疏松,且与年龄、高血压、糖尿病、高血脂密切相关,大多合并皮质下多发腔隙性脑梗死和脑萎缩。早期积极治疗病情可以获得暂时缓解、稳定,预后不良。
Objective To deepen the understanding of senile leukoencephalopathy. Methods 60 cases of senile leukoaraiosis were treated in our department from 2008 to 2010, all of which met the LotsBarnett diagnostic criteria and were intelligently tested according to the Hasegawa Simple Intelligence Scale (HDS). Results Most of the patients had slow onset and progressive dementia. They could have emotional instability, hemiparesis, hemiplegia, slow movement, ataxia, dysarthria, dysphagia and so on. CT and MRI examination could have grade Ⅲ ~ Ⅳ White matter loose, brain atrophy, subcortical lacunar infarction. Conclusion All the patients with senile leukoencephalopathy have Ⅲ ~ Ⅳ degree of white matter loosening, and are closely related with age, hypertension, diabetes and hyperlipemia, and most of them have multiple subcortical lacunar infarction and brain atrophy. Early active treatment of the disease can be temporarily alleviated, stable, poor prognosis.