摘要
目的研究血管性痴呆(VD)的精神症状与卒中位置的相关性。方法选择该院于2017年9月—2018年9月进行治疗的脑卒中患者65例进行研究,通过精神状态检查量表(MMSE)进行分组,其中单纯血管性痴呆患者40例(对照组),合并出现精神症状的患者25例(研究组),观察两组患者卒中位置,并分析相互之间的关系。结果研究组患者脑卒中史7例(28.00%)、多发性脑梗死13例(52.00%)高于对照组脑卒中史0例(0.00%)、多发性脑梗死8例(20.00%),但脑白质病变3例(12.00%)低于对照组26例(65.00%),两组比较差异有统计学意义(χ^2=32.558、22.222、59.318,P<0.05)。研究组在各个部位病灶情况中额叶9例(36.00%)、颞叶8例(32.00%)、基底节9例(36.00%)、枕叶8例(32.00%)、丘脑7例(28.00%)、顶叶7例(28.00%)均高于对照组,两组比较差异有统计学意义(χ^2=23.863、24.175、29.483、18.936、19.198、25.156,P<0.05)。患者在出现神经症状后,会增加卒中多个位置的发生率,呈正相关(r=1.25,P<0.05)。结论卒中患者的增多,可作为血管性痴呆患者神经症状发生的预测指标,对于这类患者需要积极进行检查,避免疾病出现恶化,增加治疗难度,及时治疗改善患者预后。
Objective To study the relationship between the mental symptoms of vascular dementia(VD)and the location of stroke.Methods A total of 65 patients with stroke who were treated in the hospital from September 2017 to September 2018 were selected for study and grouped by the Mental State Examination Scale(MMSE),including 40 patients with simple vascular dementia(control group).25 patients(study group)with psychiatric symptoms were combined to observe the stroke location of the two groups and analyze the relationship between them.Results In the study group,7 patients with stroke history(28.00%),13 patients with multiple cerebral infarction(52.00%)were higher than the control group with 0 patients with stroke history(0.00%),and 8 patients with multiple cerebral infarction(20.00%),but 3 cases of white matter lesions(12.00%)were lower than the control group of 26 cases(65.00%).The difference between the two groups was statistically significant(χ^2=32.558,22.222,59.318,P<0.05).In the study group,9 cases of frontal lobe(36.00%),8 cases of temporal lobe(32.00%),9 cases of basal ganglia(36.00%),8 cases of occipital lobe(32.00%),and 7 cases of thalamus(28.00%),7 cases of parietal lobe(28.00%)were higher than the control group,the difference between the two groups was statistically significant(χ^2=23.863,24.175,29.483,18.936,19.198,25.156,P<0.05).Patients with neurological symptoms will increase the incidence of stroke in multiple locations,which is positively correlated(r=1.25,P<0.05).Conclusion The increase of stroke patients can be used as a predictor of neurological symptoms in patients with vascular dementia.Such patients need to be actively examined to avoid disease deterioration,increase the difficulty of treatment,and timely treatment to improve patient prognosis.
作者
李顺长
麦游波
屈国标
LI Shun-chang;MAI You-bo;QU Guo-biao(Special Inspection Department,Jiangmen Third People's Hospital,Jiangmen,Guangdong Province,529300 China)
出处
《世界复合医学》
2020年第6期119-121,共3页
World Journal of Complex Medicine
关键词
血管性痴呆
精神症状
卒中位置
相关性
Vascular dementia
Mental symptoms
Stroke location
Correlation
