發(fā)布時(shí)間：2018-05-17 11:38

  本文選題：無癥狀性腦梗死 + 首發(fā)急性腦卒中　； 參考：《湖南師范大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2016年06期

【摘要】：目的 :探討無癥狀性腦梗死對(duì)首發(fā)急性腦卒中患者預(yù)后的影響。方法 :選擇2010年6月~2012年6月在我院接受治療的135例急性腦卒中患者,按照MRI檢查是否伴有無癥狀腦梗死將患者分為無癥狀性腦梗死(SCI)組與非無癥狀性腦梗死(非SCI)組,其中SCI組62例,非SCI組73例,采用蒙特利爾認(rèn)知評(píng)估量表(Mo CA)及簡(jiǎn)明智力狀態(tài)檢查量表(MMSE)分別對(duì)兩組患者發(fā)生腦卒中2周及3個(gè)月進(jìn)行認(rèn)知功能評(píng)定,并對(duì)兩組患者肢體活動(dòng)能力及3年內(nèi)復(fù)發(fā)率、死亡率進(jìn)行統(tǒng)計(jì)比較。結(jié)果 :SCI組與非SCI組兩周及3個(gè)月VCIND、VD比較差異具有統(tǒng)計(jì)學(xué)意義。腦卒中3個(gè)月后兩組患者認(rèn)知功能損害均有不同程度的下降,但所占比例仍較高。雖然非SCI組兩周及三個(gè)月VCIND發(fā)生率較SCI組高,但SCI組兩周及三個(gè)月顯示出更高的VD趨勢(shì)。與卒中后2周比較,非SCI組患者總體認(rèn)知功能顯著改善,視空間執(zhí)行功能、注意力和抽象思維能力顯著改善,比較差異具有統(tǒng)計(jì)學(xué)意義;而SCI組與兩周時(shí)比較,卒中后3個(gè)月SCI組總體認(rèn)知功能及視空間執(zhí)行功能、注意力和抽象思維能力無顯著改善,無統(tǒng)計(jì)學(xué)意義。SCI組不能抬起上肢、不能獨(dú)立行走及3年內(nèi)腦梗死復(fù)發(fā)率、3年內(nèi)死亡率均顯著高于非SCI組,比較差異具有統(tǒng)計(jì)學(xué)意義。結(jié)論 :無癥狀性腦梗死對(duì)首發(fā)急性腦卒中患者顯示出更高的VD趨勢(shì),會(huì)進(jìn)一步加重腦卒中患者認(rèn)知的損害,并且具有較高的致殘率、腦梗死復(fù)發(fā)率及死亡率。在臨床上應(yīng)重視對(duì)SCI的診斷,并使患者對(duì)SCI的危害得到充分的認(rèn)識(shí),積極的采取針對(duì)性的措施,以預(yù)防腦卒中的發(fā)生。
[Abstract]:Objective: to investigate the effect of asymptomatic cerebral infarction on the prognosis of patients with first acute stroke. Methods: 135 patients with acute cerebral apoplexy who were treated in our hospital from June 2010 to June 2012 were divided into two groups according to MRI examination: asymptomatic cerebral infarction (SCI) group and non-asymptomatic cerebral infarction (non-SCI) group. There were 62 cases in SCI group and 73 cases in non-SCI group. The cognitive function was evaluated by the Montreal Cognitive Assessment scale (MMA) and the brief Mental State examination scale (MMSE) for 2 weeks and 3 months, respectively. The limb mobility, recurrence rate and mortality rate in 3 years were compared statistically between the two groups. Results there was a significant difference in VCINDV between the two groups and the non SCI group in 2 weeks and 3 months. Three months after stroke, cognitive impairment in both groups decreased in varying degrees, but the proportion was still high. Although the incidence of VCIND in the non-SCI group was higher than that in the SCI group for two weeks and three months, the incidence of VCIND in the SCI group was higher than that in the SCI group at two weeks and three months. Compared with the two weeks after stroke, the overall cognitive function, visual space executive function, attention and abstract thinking ability were significantly improved in the non SCI group, while the difference was statistically significant in the SCI group and two weeks after stroke. 3 months after stroke, there was no significant improvement in the overall cognitive function, visual space executive function, attention and abstract thinking ability in the SCI group, and there was no statistical significance. The upper limb could not be raised in the sci group. The recurrence rate of cerebral infarction within 3 years and the death rate within 3 years were significantly higher than those in non-SCI group, and the difference was statistically significant. Conclusion: asymptomatic cerebral infarction has a higher VD trend in patients with initial acute stroke, which will further aggravate the cognitive impairment of stroke patients, and has a higher rate of disability, recurrence and mortality of cerebral infarction. We should pay more attention to the diagnosis of SCI in clinic, and make the patients fully aware of the harm of SCI, and take effective measures to prevent the occurrence of cerebral apoplexy.
【作者單位】： 哈勵(lì)遜國際和平醫(yī)院神經(jīng)內(nèi)二科;
【分類號(hào)】：R743.33

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 肖軍,周波,許飛,楊友松;無癥狀性腦梗死患者的心理及行為評(píng)價(jià)[J];醫(yī)學(xué)科技;2001年04期

2 肖軍,周波,許飛,楊友松;無癥狀性腦梗死患者的心理功能測(cè)評(píng)[J];中國臨床心理學(xué)雜志;2002年01期

3 劉自剛;40例無癥狀性腦梗死的臨床分析[J];中原醫(yī)刊;2005年07期

4 桂平;宮平;;無癥狀性腦梗死臨床特點(diǎn)分析[J];北京醫(yī)學(xué);2009年02期

5 唐涌;季波;何龍錦;丁雪明;;無癥狀性腦梗死患者血漿同型半胱氨酸的測(cè)定及其臨床意義[J];中國現(xiàn)代醫(yī)生;2009年29期

6 李志金;;無癥狀性腦梗死臨床變化及對(duì)策[J];中國實(shí)用醫(yī)藥;2010年13期

7 魏定遠(yuǎn);李偉峰;苗海峰;袁偉杰;唐桂華;黎穎杰;張俏敏;;無癥狀性腦梗死50例臨床分析[J];中國實(shí)用神經(jīng)疾病雜志;2010年15期

8 鄭文進(jìn);;首發(fā)腦梗死中無癥狀性腦梗死臨床分析[J];吉林醫(yī)藥學(xué)院學(xué)報(bào);2010年04期

9 楊新春;田玉梅;;無癥狀性腦梗死103例臨床分析[J];中國社區(qū)醫(yī)師(醫(yī)學(xué)專業(yè));2013年01期

10 姜楚濤,楊明山;無癥狀性腦梗死31例分析[J];新醫(yī)學(xué);1999年12期

相關(guān)會(huì)議論文 前7條

1 周欽;;無癥狀性腦梗死80例臨床分析[A];第三屆全國少數(shù)民族地區(qū)神經(jīng)病學(xué)會(huì)論文匯編[C];2005年

2 周欽;;無癥狀性腦梗死80例臨床分析[A];第三屆全國少數(shù)民族地區(qū)神經(jīng)病學(xué)會(huì)論文匯編[C];2005年

3 姜鳳英;;以頭暈為主訴的無癥狀性腦梗死患者焦慮狀態(tài)的臨床分析[A];中華醫(yī)學(xué)會(huì)第七次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

4 傅建輝;呂傳真;洪震;董強(qiáng);黃家星;;無癥狀性腦梗死對(duì)首次缺血性卒中患者預(yù)后的影響[A];中華醫(yī)學(xué)會(huì)第七次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

5 胥桂華;程永杰;邢影;徐忠信;;無癥狀性腦梗死患者的認(rèn)知功能研究[A];第十一屆全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2008年

6 梁元碧;;糖尿病無癥狀性腦梗死68例臨床分析[A];2006年中華醫(yī)學(xué)會(huì)糖尿病分會(huì)第十次全國糖尿病學(xué)術(shù)會(huì)議論文集[C];2006年

7 孫家蘭;夏偉梁;郭正良;孫擰;辛?xí)澡?傅毅;;無癥狀性腦梗死認(rèn)知功能障礙的分析[A];中華醫(yī)學(xué)會(huì)第十三次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2010年

相關(guān)重要報(bào)紙文章 前1條

1 李代明;容易誤漏診的無癥狀性腦梗死[N];中國中醫(yī)藥報(bào);2003年

相關(guān)博士學(xué)位論文 前1條

1 傅建輝;無癥狀性腦梗死的臨床和腦血流動(dòng)力學(xué)研究[D];復(fù)旦大學(xué);2003年

相關(guān)碩士學(xué)位論文 前6條

1 辛錫林;無癥狀性腦梗死腦血管功能檢測(cè)的臨床意義及危險(xiǎn)因素相關(guān)性分析[D];安徽醫(yī)科大學(xué);2015年

2 張曉敏;軍事飛行人員無癥狀性腦梗死臨床特點(diǎn)及隨訪初步研究[D];大連醫(yī)科大學(xué);2015年

3 劉雯斐;52例無癥狀性腦梗死臨床特點(diǎn)分析[D];山東大學(xué);2008年

4 陳秀云;冠心病與無癥狀性腦梗死相關(guān)性臨床研究[D];福建醫(yī)科大學(xué);2011年

5 柴曉斌;首發(fā)急性腦梗死中無癥狀性腦梗死的臨床分析[D];吉林大學(xué);2013年

6 胥桂華;無癥狀性腦梗死影像與認(rèn)知功能及胰島素水平的研究[D];吉林大學(xué);2005年

，

本文編號(hào)：1901219