社区脑卒中高危人群非痴呆性血管性认知功能障碍筛查及相关因素分析

发布时间：2019-05-06 17:16

【摘要】：目的了解社区脑卒中高危人群认知功能现状及其相关影响因素。方法采用横断面调查方法对天津市河西区4个社区539例脑卒中高危人群进行筛查,采用简易智能状态检查量表及临床痴呆量表评估认知功能,以是否诊断非痴呆性血管性认知功能障碍(VCIND)分为认知正常组401例和认知障碍组138例,比较分析脑卒中高危人群认知功能障碍与脑卒中危险因素的相关性。结果与认知正常组比较,认知障碍组男性(57.2%vs 46.1%)、年龄≥65岁(60.9%vs 39.7%)、高中以下文化程度(87.0%vs 75.1%)、高脂血症(68.8%vs 55.1%)、脑卒中史(34.1%vs 21.7%)、高同型半胱氨酸血症(63.8%vs 53.6%)认知障碍发生率明显升高(P0.05,P0.01);高中以下文化程度是影响脑卒中高危人群认知功能的独立危险因素(OR=0.494,95%CI:0.276~0.883,P0.05)。结论社区脑卒中高危人群是VCIND的易患人群,提示及早对具有血管性危险因素的社区人群进行认知功能筛查,对防治VCIND的发生具有重要意义。
[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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