老年腔隙性脑梗死后影响认知功能障碍的危险因素分析被引量：9

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摘要目的分析并评价老年腔隙性脑梗死后影响认知功能障碍的危险因素。方法将102例腔隙性脑梗死患者及对照组84例受检者采用蒙特利尔认知功能量表(MOCA)进行评估,观察组在入院时及入院后1年分别测试1次认知功能,对比2组的认知功能,并通过Logistic回归分析认知功能下降的危险因素。结果观察组患者的Mo CA量表评分显著低于对照组(P<0.05);观察组患者的认知障碍率显著高于对照组(P<0.05)。观察组患者的视空间与执行功能、注意力、语言、延迟回忆的Mo CA评分均显著低于对照组(P均<0.05)。对观察组患者在1年后再次评估Mo CA量表评分显示有26例患者评分出现降低。Logistic回归分析显示伴糖尿病、高脂血症导致认知功能下降的风险显著高于其他各指标(P均<0.05)。结论大多数老年腔隙性脑梗死患者存在认知功能障碍,伴糖尿病、高脂血症导致认知功能下降的风险显著高于高血压病、颈动脉斑块及吸烟。

作者黄连铭

机构地区邢台矿业集团总医院

出处《现代中西医结合杂志》 CAS 2015年第12期1334-1335,共2页 Modern Journal of Integrated Traditional Chinese and Western Medicine

关键词老年人腔隙性脑梗死认知功能障碍认知评估量表

分类号 R743.33 [医药卫生—神经病学与精神病学]

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