【摘要】：目的了解社區(qū)腦卒中高危人群認知功能現狀及其相關影響因素。方法采用橫斷面調查方法對天津市河西區(qū)4個社區(qū)539例腦卒中高危人群進行篩查,采用簡易智能狀態(tài)檢查量表及臨床癡呆量表評估認知功能,以是否診斷非癡呆性血管性認知功能障礙(VCIND)分為認知正常組401例和認知障礙組138例,比較分析腦卒中高危人群認知功能障礙與腦卒中危險因素的相關性。結果與認知正常組比較,認知障礙組男性(57.2%vs 46.1%)、年齡≥65歲(60.9%vs 39.7%)、高中以下文化程度(87.0%vs 75.1%)、高脂血癥(68.8%vs 55.1%)、腦卒中史(34.1%vs 21.7%)、高同型半胱氨酸血癥(63.8%vs 53.6%)認知障礙發(fā)生率明顯升高(P0.05,P0.01);高中以下文化程度是影響腦卒中高危人群認知功能的獨立危險因素(OR=0.494,95%CI:0.276~0.883,P0.05)。結論社區(qū)腦卒中高危人群是VCIND的易患人群,提示及早對具有血管性危險因素的社區(qū)人群進行認知功能篩查,對防治VCIND的發(fā)生具有重要意義。
[Abstract]:Objective to investigate the current status of cognitive function in high-risk population with stroke in community and its related influencing factors. Methods A cross-sectional survey was used to screen 539 high-risk patients with stroke in 4 communities of Hexi district of Tianjin. The cognitive function was evaluated by simple mental state examination scale and clinical dementia scale. Patients with non-dementia vascular cognitive dysfunction (VCIND) were divided into two groups: normal cognitive group (n = 401) and cognitive impairment group (n = 138). The correlation between cognitive dysfunction and risk factors of stroke in high risk group of stroke was compared and analyzed. Results compared with normal cognitive group, men with cognitive impairment (57.2%vs 46.1%), age 鈮，

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