摘要
目的分析脑梗死患者脑梗死后认知功能障碍的影响因素。方法选择在我院治疗的脑梗死患者172例为研究对象。采用简易智能精神状态检查量表评价患者是否存在认知功能障碍。采用神经功能缺损评分、Barthel指数对脑梗死患者进行调查。结果年龄≥65岁、多发病灶、高血压、糖尿病、高血脂、左大脑半球梗死、脑叶梗死、白质病变、脑萎缩是脑梗死后认知功能障碍的高危因素(P<0.01),而吸烟和饮酒则是再发脑梗死后认知功能障碍的高危因素(P<0.01)。结论影响脑梗死后认知功能障碍的因素主要有年龄≥65岁、多发病灶、高血压、糖尿病、高血脂、饮酒、吸烟、左大脑半球梗死、脑叶梗死、白质病变、脑萎缩等。
Objective To discuss influencing factors of cognition impairment in patients with cerebral infarction. Methods Selected 172 cases with stroke were analyzed. All of the subjectes were surveyed by MMSE, NIHSS and Barthel index. Results Over 65 years old, multi-focal, hypertension, diabetes mellitus, hyperlipidemia, the left hemisphere infarction, cerebral lobe infarction, leukodystrophy, encephalatrophy were influencing factors of cognition impairment after cerebral infarction （P 〈 0.01）. Smoking and drinking were influencing factors of recrudesce cerebral infarction （P 〈 0.01）. Conclusion Influencing factors of cognition impairment after cerebral infarction are over 65, multifocal, hypertension, diabetes mellitus, hyperlipidemia, the left hemisphere infarction, cerebral lobe infarction, leukodystrophy, encephalatrophy, smoking and drinking.
出处
《中国现代医生》
2014年第7期26-27,30,共3页
China Modern Doctor
