【摘要】：目的對比研究基底核腦梗死和皮質(zhì)腦梗死血管性認(rèn)知功能障礙。方法在西寧市第二人民醫(yī)院2013年5月—2015年5月收治的200例腦梗死患者中,隨機(jī)抽取基底核腦梗死患者和皮質(zhì)腦梗死患者各30例,另選同期30例健康體格檢查正常的人為對照組,對上述90例進(jìn)行蒙特利爾認(rèn)知評估量表(MoCA)評分,比較其認(rèn)知功能狀態(tài)。結(jié)果兩組基本資料以及MoCA評分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。病例組的MoCA評分低于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。皮質(zhì)腦梗死患者M(jìn)oCA評分高于基底核腦梗死患者,差異有統(tǒng)計(jì)學(xué)(P0.05)。病例組視空間與執(zhí)行能力、注意力及抽象思維能力維度評分低于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),命名能力、語言能力及記憶力、定向力維度評分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)�；缀四X梗死患者的MoCA各維度評分低于皮質(zhì)腦梗死患者,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論基底核腦梗死和皮質(zhì)腦梗死患者存在較大的血管性認(rèn)知功能障礙可能性(以執(zhí)行功能、注意力及抽象思維能力為主要表現(xiàn))。
[Abstract]:Objective to compare the vascular cognitive impairment between basal cerebral infarction and cortical cerebral infarction. Methods from May 2013 to May 2015, 30 patients with basal nucleus cerebral infarction and 30 patients with cortical cerebral infarction were randomly selected from the second people's Hospital of Xining City. 30 healthy people with normal physical examination were selected as the control group. The above 90 patients were evaluated with Montreal Cognitive Assessment scale (MoCA), and their cognitive function status was compared. Results there was no significant difference in basic data and MoCA score between the two groups (P 0.05). The MoCA score of the case group was lower than that of the control group, the difference was statistically significant (P 0.05). The MoCA score of patients with cortical cerebral infarction was higher than that of patients with basal cerebral infarction (P 0.05). The scores of visual space and executive ability, attention and abstract thinking ability in the case group were lower than those in the control group, the difference was statistically significant (P 0.05). There was no significant difference in naming ability, language ability, memory and orientation dimension score (P 0.05). The scores of MoCA in patients with basal cerebral infarction were significantly lower than those in patients with cortical cerebral infarction (P 0.05). Conclusion there is a greater possibility of vascular cognitive impairment (mainly executive function, attention and abstract thinking ability) in patients with basal nucleus cerebral infarction and cortical cerebral infarction.
【作者單位】： 青海省西寧市第二人民醫(yī)院;
【分類號】：R743.33

【相似文獻(xiàn)】

相關(guān)期刊論文 前1條

1 侯清華;曾進(jìn)勝;;Ephrin B2受體對皮質(zhì)腦梗死遠(yuǎn)隔部位血管發(fā)生和神經(jīng)可塑性的影響[J];國際腦血管病雜志;2007年10期

，

本文編號：2516405