基底核脑梗死和皮质脑梗死血管性认知功能障碍对比研究
发布时间：2019-07-19 16:51
【摘要】：目的对比研究基底核脑梗死和皮质脑梗死血管性认知功能障碍。方法在西宁市第二人民医院2013年5月—2015年5月收治的200例脑梗死患者中,随机抽取基底核脑梗死患者和皮质脑梗死患者各30例,另选同期30例健康体格检查正常的人为对照组,对上述90例进行蒙特利尔认知评估量表(MoCA)评分,比较其认知功能状态。结果两组基本资料以及MoCA评分比较,差异无统计学意义(P0.05)。病例组的MoCA评分低于对照组,差异有统计学意义(P0.05)。皮质脑梗死患者MoCA评分高于基底核脑梗死患者,差异有统计学(P0.05)。病例组视空间与执行能力、注意力及抽象思维能力维度评分低于对照组,差异有统计学意义(P0.05),命名能力、语言能力及记忆力、定向力维度评分比较,差异无统计学意义(P0.05)。基底核脑梗死患者的MoCA各维度评分低于皮质脑梗死患者,差异有统计学意义(P0.05)。结论基底核脑梗死和皮质脑梗死患者存在较大的血管性认知功能障碍可能性(以执行功能、注意力及抽象思维能力为主要表现)。
[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.
【作者单位】： 青海省西宁市第二人民医院;
【分类号】：R743.33
本文编号：2516405
[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.
【作者单位】： 青海省西宁市第二人民医院;
【分类号】：R743.33
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