摘要
目的探讨无症状性脑梗死（ACI）与血管性认知障碍（VCI）的关系。方法对2001～2005年有短暂性脑缺血发作（TIA）史或有眩晕、头痛而无明确卒中病史的300例60岁以上的老年人做了CT或MRI检查，并采用易精神状态检查（MMSE）和临床痴呆评定（CDR）对68例影像学检查有SCI者做了老年认知功能测验。结果做CT检查的200例老年人显示有ACI者33例（占16．5％），做MRI检查的100例显示有ACI者35例（占35％），68例有ACI者中有63例的心理学测验，得分均低于非ACI者。结论ACI并非无临床症状，绝大多数都有轻度认知功能障碍（63／68，占92．65％），最终有一部分患者将演变成血管性痴呆（9／68，占13．24％）。
Objective To explore the relationship between silent cerebral infarction （SCI） and vascular cognitive impairment （VCI）. Method CT or MRI was used to examine 300 cases who were over 60 years old and experienced transient ischemic attack or vertigo or headache without obvious stroke from 2001 to 2005. By the use of iconography test, 68 cases of SCI were given cognitive function measurement with the Mini-Mental state Examination （MMSE） and Clinical Dementia Rating （CDR） test. Result 33 cases （16. 5% ） among 200 senile patients who were examined by CT had ACI. 35 cases （35%） among 100 senile patients who were examined by MRI had SCI. The psychological measurement scores of 63 cases among 68 cases who had SCI was lower than that of the cases who had no SCI. Conclusion Most of the SCI patients have vascular cognitive impairment with varied degrees, and they will develop vascular dementia at last.
出处
《中国医师杂志》
CAS
2008年第2期174-176,共3页
Journal of Chinese Physician
基金
湖南省科技厅科研基金资助项目（2000,1013-5）
