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皮质下缺血性血管病的神经心理特征

Neuropsychological Characteristics of Subcortical Ischemic Vascular Disease
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摘要 目的研究探讨皮质下缺血性血管病患者的神经心理特征。方法将我院2014年3月~2015年3月收治的皮质下缺血性血管病患者30例为研究对象。研究分析患者临床资料与临床表现。结果研究结果发现,所有患者中表现为轻度皮质下缺血性血管病的有11例,占据36.7%,中重度缺血性血管病患者有19例,占据63.3%。经过诊断发现存在血管性认知功能障碍的患者有13例。研究过程中还发现中重度缺血性血管病患者产生妄想、幻觉、夜间不寻常活动与过度兴奋的症状要重于轻度患者,数据差异具有统计学意义(P〈0.05)。结论皮质下缺血性血管病患者比较多见的是认知功能障碍,且血管性认知功能障碍是最为常见的,患者执行功能与记忆损害表现比较突出,容易产生抑郁,充分说明额叶皮质下受损是两者共同损害机制。 Objective To study on patients with subcortical ischemic vascular disease of the nervous mentality. Methods 30 cases of subcortical ischemic vascular disease patients as the research object in our hospital in March 2014 - March 2015. Research and analysis in patients with clinical data and clinical manifestations. Results The results of the study showed that all patients characterized by mild subcortical ischemic vascular disease in 11 cases, occupy 36.7%, 19 patients with moderately severe ischemic cardiovascular disease, occupy 63.3%. After diagnosis found in 13 patients with vascular cognitive dysfunction. Research also found that patients with moderately severe ischemic vascular disease produces in the process of delusions, hallucinations, unusual activity at night with excessive excitement symptoms than patients with mild, data accord with statistical difference (P〈0.05). Conclusion Patients with subcortical ischemic vascular disease see more is the cognitive dysfunction, and vascular cognitive dysfunction is the most common, executive function and memory impairment in patients with prominent performance, prone to depression, and that under the frontal cortex damaged is both damage mechanism.
作者 田宇
出处 《中国继续医学教育》 2015年第27期102-103,共2页 China Continuing Medical Education
关键词 皮质下缺血性血管病 认知障碍 抑郁 Subcortical ischemic vascular disease Cognitive impairment Depression
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