摘要
[目的]探讨血管性帕金森综合症(VP)和原发性帕金森病(PD)各自的临床和MRI特点。[方法]对我科2004年1月～2010年2月6年间住院或长期门诊随访的60例VP和52例PD患者的临床表现及头颅MRI表现进行归纳和统计学分析。[结果]VP的发病年龄要晚于PD患者(P﹤0.05),VP与PD的发病原因有明显的差异(P﹤0.05),头颅MRI主要表现有统计学差异(P﹤0.05)。[结论]VP的发病大多有高血压,脑卒中病史,基底节,脑室周围多发腔梗是导致VP的主要原因,VP的临床表现不同于PD,头颅MRI有助于二者的鉴别。
[Objective]To investigate the vascular Parkinson＇s syndrome（VP）and idiopathic Parkinson disease（PD）characteristics of their clinical and MRI.[Methods]From January 2004 to February 2010,the clinical manifestations and cranial MRI of 60 cases long-term outpatients and 52 patients with VP and PD patients were summarized and analyzed.[Results]The onset of VP was later than that of PD patients（P﹤0.05）,VP and the etiology of PD had significantly different（P﹤0.05）,and the head MRI showed significant difference in VP and PD patients（P﹤0.05）.[Conclusion]Most of the VP patients had hypertension,stroke history,basal ganglia,periventricular multiple lacunar infarction,which were the main causes of VP,VP was different from the clinical manifestations of PD,and head MRI can help distinguish between the two groups.
出处
《现代预防医学》
CAS
北大核心
2011年第18期3795-3796,3799,共3页
Modern Preventive Medicine
作者简介
陈岚（1969-），女,本科，副主任医师，研究方向：脑血管疾病
通讯作者：李玫（1962-），女，本科，主治医师，研究方向：脑血管疾病，E—mail：gfjyy@163．com
