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首页> 外文期刊>Journal of the Neurological Sciences: Official Bulletin of the World Federation of Neurology >Incidence of dementia among atomic-bomb survivors--Radiation Effects Research Foundation Adult Health Study.
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Incidence of dementia among atomic-bomb survivors--Radiation Effects Research Foundation Adult Health Study.

机译:原子弹幸存者中痴呆症的发病率-辐射效应研究基金会成人健康研究。

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Radiotherapy has been reported to cause neuropsychological dysfunction. Here we examined whether exposure to atomic bomb radiation affected the incidence of dementia among 2286 atomic bomb survivors and controls - all members of the Adult Health Study cohort. Study subjects were non-demented and aged >or=60 years at baseline examination and had been exposed in 1945 at >or=13 years of age to a relatively low dose (or=500 mGy group. Alzheimer disease was the predominant type of dementia in each dose category. After adjustment for potential risk factors, radiation exposure did not affect the incidence rate of either all dementia or any of its subtypes. No case of dementia had a history of therapeutic cranial irradiation. Although we found no relationship between radiation exposure and the development of dementia among atomic bomb survivors exposed at >or=13 years old in this longitudinal study, effects on increased risk of early death among atomic bomb survivors will be considered.
机译:据报道放疗会引起神经心理功能障碍。在这里,我们检查了2286名原子弹幸存者和对照组(成人健康研究队列的所有成员)中暴露于原子弹辐射是否会影响痴呆症的发生率。研究对象无痴呆,在基线检查时年龄≥60岁,并于1945年以≥13岁的年龄暴露于相对于放射治疗总剂量的相对较低剂量(≤4Gy)。痴呆症的诊断是在两年一次的健康检查中采用两阶段程序进行的。 DSM IV标准用于诊断痴呆,NINCDS-ADRDA用于阿尔茨海默氏病,NINDS-AIREN用于血管疾病。为了评估辐射对痴呆症发病率的影响,我们应用了泊松回归分析。 <5 mGy组每1000人年的发生率为16.3,5-499 mGy组为17.0,>或= 500 mGy组为15.2。阿尔茨海默氏病是每种剂量类别中痴呆的主要类型。在调整了潜在的危险因素后,辐射暴露并未影响所有痴呆症或其任何亚型的发生率。没有痴呆病例有治疗性颅脑放射史。尽管在这项纵向研究中,我们发现暴露于大于或等于13岁的原子弹幸存者中,放射线照射与痴呆的发展之间没有关系,但将考虑对原子弹幸存者中早期死亡风险增加的影响。

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