摘要
目的探讨急性脑卒中早期认知功能障碍相关危险因素。方法对急性缺血性脑梗死患者的临床病例资料进行分析,所有患者均于发病后第14天进行简易精神状态检查量表(MMSE)评分测定,评估患者的认知功能。应用Logistic回归分析显示影响其发生的危险因素。结果损害组年龄、烟酒史、高血压、脑卒中史及糖尿病发生率高于对照组;患者卒中后认知功能障碍的患者病变部位与认知功能的损伤有关。结论卒中后急性期血管性认知障碍的危险因素为高龄、糖尿病、高血压、卒中或短暂性脑缺血发作病史以及血浆低密度脂蛋白水平增高,均为AIS后发生认知功能障碍的独立危险因素。
Objective To explore the risk factors of early cognitive impairment in patients with acute stroke.Methods The clinical data of patients with acute ischemic cerebral infarction were analyzed.All patients were evaluated by simple mental state examination scale（MMSE） at fourteenth days after the onset of the disease,the Logistic regression analysis was used to study the influence.Results The age,the history of tobacco and alcohol,the hypertension,the history of stroke and the incidence of diabetes of the injury group were higher than those of the control group,and the lesions of the patients with cognitive impairment after stroke were related to the impairment of cognitive function.Conclusion The risk factors for acute vascular cognitive impairment after stroke are age,diabetes,hypertension,stroke,or transient ischemic attack,and the increase of plasma low density lipoprotein（LDL） levels,which are independent risk factors for cognitive impairment after AIS.
作者
田晶
刘海波
崔勇
高咏红
孙海燕
TIAN Jing;LIU Haibo;CUI Yong;GAO Yonghong;SUN Haiyan(Department of Neurology,The FAW Hospital,Changchun Jilin 130031,China;Emergency Department,The Second Division,The First Hospital of Jilin University,Changchun Jilin 130031,China)
出处
《中国卫生标准管理》
2018年第16期35-38,共4页
China Health Standard Management
