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老年腔隙性脑梗死患者与认知功能障碍相关性研究

李红琏 贾俊栋 尹雪 岳卫东

疑难病杂志Issue(7):679-681,3.
疑难病杂志Issue(7):679-681,3.DOI:10.3969/j.issn.1671-6450.2015.07.006

老年腔隙性脑梗死患者与认知功能障碍相关性研究

Study on the relationship between lacunar infarction and cognitive impairment

李红琏 1贾俊栋 1尹雪 1岳卫东1

作者信息

  • 1. 150086 哈尔滨医科大学附属第二医院神经内科四病房
  • 折叠

摘要

Abstract

Objective To explore the relationship between lacunar infarction( LI) and cognitive function.Methods 94 cases of hospitalized patients with LI were collected, according to the MR examination’ s number of basal ganglia and thala-mus’ LI, patients were divided into 3 groups, 1-3 lesions was mild group, 4-6 lesions was moderate group,≥7 lesions was severe group.Select another group of elderly people with normal MR as the control group.The Montreal cognitive assessment scale table ( MoCA) ( Beijing version) and Alzheimer's disease cognitive table ( ADAS-Cog) as a cognitive assessment tool to observe different LI group whether has decline in cognitive function.Results Compared with the control group, mild and moderate LI groups had no significantly decrease of cognitive function ( P >0.05) , severe LI group’ s cognitive function were decreased significantly ( P <0.05);MoCA scores decreased with the rising of LI group level.In the ADAS-Cog table score, compared with the control group, mild and moderate LI groups ’ cognitive function had no decreased significantly ( P >0.05), severe LI groups’ cognitive function decreased significantly ( P <0.05);the total score increased with the rising of LI grouping level.The more serious of the LI of the basal ganglia and the thalamus in the thalamus, the more obvious of the decrease of the cognitive function.Conclusion Basal ganglia and thalamus area multiple LI influence patients cognitive func-tion, cognitive domain is mainly manifested in the execution of the function, abstract thinking, language function, attention, orientation, and influence on memory function is not obvious.

关键词

腔隙性脑梗死/认知功能/基底节/丘脑/执行功能

Key words

Lacunar infarction/Cognitive function/Basal ganglia/Thalamus/Executive function

引用本文复制引用

李红琏,贾俊栋,尹雪,岳卫东..老年腔隙性脑梗死患者与认知功能障碍相关性研究[J].疑难病杂志,2015,(7):679-681,3.

基金项目

黑龙江省自然科学基金资助项目 ()

疑难病杂志

OACSTPCD

1671-6450

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