摘要
目的调查老年缺血性脑卒中(CIS)患者卒中后运动功能与认知功能,分析老年CIS患者运动功能与认知功能之间的相关性。方法选取河北医科大第二医院神经内科自2019年5月-2019年7月住院的老年CIS患者,共619例,收集患者一般资料、日常生活活动能力(ADL评分)、跌倒评分(Morse评分)及简易智力状态检查量表(MMSE评分),通过SPSS 23.0进行统计描述与分析。结果619例CIS患者得分均用中位数(四分位数间距)表示,ADL得分为90.00(75.00,100.00)分;有跌倒史为64例,占10.3%,无跌倒史为555例,占89.7%;跌倒评分为8.00(6.00,12.00)分;MMSE得分为26.00(22.00,29.00)分;患者MMSE得分与日常生活活动能力呈正相关(r=0.29,P<0.01),与跌倒评分呈负相关(r=-0.245,P<0.01)。Mann-WhitneyU检验结果显示:MMSE得分与跌倒史(P=0.038)、性别(P=0.031)相关。结论老年CIS患者认知功能与运动功能(日常生活活动能力及跌倒评分)相关,既往是否有跌倒史亦会影响MMSE得分,医疗中应重视老年卒中患者的运动功能与认知功能相关的机制研究,以期为老年CIS患者认知功能下降的早发现,早干预提供依据。
Objective To investigate the motor function and cognitive function of elderly patients with cerebral ischemic stroke(CIS)after CIS,and to analyze the correlation between motor function and cognitive function of elderly patients with stroke.Methods A total of 619 elderly stroke patients from May 2019 to July 2019 in neurology department of our hospital were selected.The general data,activities of daily life function(ADL),Morse and MMSE were collected and analyzed by SPSS 23.0.Results The scores of 619 patients with CIS were all expressed by the median(inter-quartile range).The ADL score was 90.00(75.00,100.00).There were 64 cases with history of falls,accounting for 10.3%,and 555 cases without history of falls,accounting for 89.7%.The fall score was 8.00(6.00,12.00);The MMSE score was 26.00(22.00,29.00);The MMSE score was positively correlated with the ability of daily living activities(r=0.29,P<0.01),and negatively correlated with the fall score(r=-0.245,P<0.01).The results of mann-whitneyu test showed that MMSE score was correlated with fall history(P=0.038)and sex(P=0.031).Conclusion Cognitive function of elderly CIS patients is related to motor function(activity of daily life and fall score),and whether there has been a history of fall will also affect MMSE score.In medical treatment,we should pay attention to the mechanism research of motor function and cognitive function of elderly CIS patients,in order to provide basis for early detection and early intervention of cognitive function decline of elderly CIS patients.
作者
唐丽梅
董梅
张海娇
何瑛
李震中
Tang Limei;Dong Mei;Zhang Haijiao;He Ying;Li Zhenzhong(Department of Neucology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)
出处
《脑与神经疾病杂志》
2020年第7期429-432,共4页
Journal of Brain and Nervous Diseases
关键词
老年
缺血性脑卒中
运动功能
认知
相关性研究
Elderly patients
Cerebral ischemic stroke
Motor function
Cognitive
Correlation study
