中风与神经疾病杂志2017，Vol.34Issue(1)：51-55,5.
急性脑梗死患者认知障碍与梗死部位的相关研究
Correlation between cognitive impairment and infarct sites of patients with acute ischemic stroke
摘要
Abstract
Objective To analyze the characteristics of cognitive impairment in different infarct locations among pa -tients with acute ischemic stroke .Methods Montreal Cognitive Assessment ( MoCA ) was used to assess the cognitive function of 97 patients with acute ischemic stroke and 20 people without stroke .MRI was used to locate the infarct sites . Then,we analyzed the correlation between the infarct sites and the results of EF ,NAM,ATT,LANG,ABS,MEM,ORT.Re-sults (1) In the 97 patients with acute ischemic stroke ,there were 73 patients with the scores of MoCA less than 26,and the incidence of VCI was about 75.26%.(2) Frontal lobe damage obviously decreased EF and ATT;the infarction of tem-poral lobe could obviously impair MEM ,EF,and ORT;the thalamus damage might be related to the ATT ,LANG and EF dysfunction;the parietal lobe damage might lead to the ORT and EF dysfunction;the occipital lobe and basal ganglia damage might be related to the EF dysfunction .Compared with control group ,the differences of total scores and factor scores of Mo-CA were not statistically significant in the infarction of cerebellum and pons (P>0.05).Conclusion The incidence of cognitive impairment is high in patients with acute ischemic stroke .And the characteristics of cognitive impairment may be different in patients with different infarct sites .关键词
脑梗死/认知障碍/病灶部位/MoCAKey words
Ischemic stroke/Cognitive impairment/Infarct sites/MoCA分类
医药卫生引用本文复制引用
吕林利,张琛,尹世敏,李秋俐,王磊..急性脑梗死患者认知障碍与梗死部位的相关研究[J].中风与神经疾病杂志,2017,34(1):51-55,5.基金项目
全军十二五保健专项科研课题（12BJZ24）；军队医学科技青年培育项目 （）
