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目的:探讨代谢综合征及其各组分与脑白质病变的关系。方法:收集整理本院门诊相关资料完整的中老年患者290例,分别记录其高血压、糖尿病或高脂血症病史,并进行腹围测量;入选病例均复习头颅CT和(或)MRI片。结果:符合代谢综合征诊断者147例,占50.7%,其中检出脑白质病变111例,占75.5%;高血压、血脂异常、糖尿病及腹围超标与脑白质病变均显著相关。结论:代谢综合征与脑白质病变发生显著相关,各组分均为脑白质病变的独立影响因素。
Objective: To investigate the relationship between metabolic syndrome and its components and leukoencephalopathy. Methods: A total of 290 middle-aged and elderly patients with related data in our hospital were collected and recorded for a history of hypertension, diabetes or hyperlipidemia, respectively, and their abdominal circumference were measured. The CT and / or MRI were reviewed. Results: 147 cases were diagnosed as metabolic syndrome, accounting for 50.7%. Among them, 111 cases were white matter lesions, accounting for 75.5%. Hypertension, dyslipidemia, diabetes and abdominal circumference were significantly associated with white matter lesions. Conclusion: Metabolic syndrome is significantly associated with the occurrence of white matter lesions, and each component is an independent influencing factor of white matter lesions.