摘要
目的探讨老年缺血性脑血管疾病的认知功能的改变以及相关影响因素。方法抽取我院2018年至2020年所收治的缺血性脑卒中的患者96例作为研究,均是恢复期患者伴有不同程度的认知功能障碍,此组患者为观察组。另选同期所收治的缺血性脑卒中的患者未伴有认知功能障碍的患者96例作为研究对象的对照组,观察两组患者的认知功能改变以及影响因素。结果观察组的认知功能障碍的患者在高血压、高脂血症、糖尿病及长期吸烟和饮酒方面均多于对照组,在并发症方面,各组项目并发症均高于对照组,各组间数据均差异性显著(P<0.05),观察组MMSE评分平均(20.15±2.12)分,对照组MMSE评分(26.14±2.02)分,两组存在统计学差异。将总共192例患者,按不同部位脑梗死分组,进行MMSE评分比较。额叶、颞叶、顶叶部位梗死的MMSE评分较低,组间数据存在差异性(P<0.05)。结论对于缺血性脑血管疾病的患者认知功能的改变与既往病史以及并发症有一定的关系,其中高血压、高血脂以及糖尿病是导致认知障碍的主要因素,同时额叶、颞叶、顶叶脑梗死与认知下降存在一定的关系,在临床治疗中值得关注。
Objective To investigate the changes of cognitive function and related factors in elderly patients with ischemic cerebrovascular disease.Methods Ninety-six patients with ischemic stroke admitted to our hospital from 2018 to 2020 were selected as the research group.All patients were in recovery period with different degrees of cognitive impairment.This group was the observation group.Another 96 cases of ischemic stroke patients without cognitive impairment in the same period were selected as the control group.The changes of cognitive function and influencing factors of the two groups were observed.Results The patients with cognitive impairment in the observation group were more than those in the control group in terms of hypertension,hyperlipidemia,diabetes,long-term smoking and drinking.In terms of complications,the complications in each group were higher than those in the control group,and the differences between the groups were significant(P<0.05).The MMSE score of the observation group was(20.15±2.12)points,and that of the control group was(26.14±2.02)points.There was statistical difference between the two groups.A total of 192 patients were divided into two groups according to different parts of cerebral infarction.The MMSE score of frontal lobe,temporal lobe and parietal lobe infarction was lower,and there was difference between groups(P<0.05).Conclusion For patients with ischemic cerebrovascular disease,the change of cognitive function has a certain relationship with past medical history and complications.Hypertension,hyperlipidemia and diabetes are the main factors leading to cognitive impairment.At the same time,frontal lobe,temporal lobe and parietal lobe cerebral infarction have a certain relationship with cognitive decline,which is worthy of attention in clinical treatment.
作者
杨玉梅
YANG Yu-mei(The People’s Hospital of Yunnan Dali Bai Autonomous Prefecture,Dali,Yunnan 671000)
出处
《智慧健康》
2021年第20期54-56,共3页
Smart Healthcare
关键词
缺血性脑卒中
认知功能
影响因素
Ischemic stroke
Cognitive function
Influencing factors
