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目的:通过研究缺血性中风患者的认知功能水平及其影响因素,了解血管性认知功能损害(VCI)在缺血性中风患者中的发生状况。方法:运用蒙特利尔认知评估(MoCA)量表评估缺血性中风住院患者的认知功能水平,对VCI群体MoCA积分的相关因素进行分析。结果:43例缺血性中风住院患者中符合VCI诊断的达31例,占全部受检患者的72.1%,其中符合血管性痴呆(VaD)诊断的达13例,占全部受检患者的30.23%;VCI患者中MoCA积分同受教育程度呈正相关。结论:缺血性中风患者中存在较大比例的认知功能损害现象,需要引起临床的足够重视,MoCA量表是用于临床对缺血性中风患者进行认知功能评估的较好工具,可用于在缺血性中风患者的VCI筛查。
Objective: To study the cognitive function of ischemic stroke patients and its influencing factors to understand the occurrence of vascular cognitive impairment (VCI) in patients with ischemic stroke. Methods: The cognitive function of patients in ischemic stroke hospitalized was assessed by the Montreal Cognitive Assessment (MoCA) Scale, and the related factors of MoCA score in VCI group were analyzed. Results: Thirty-one patients with ischemic stroke were diagnosed as having VCI, accounting for 72.1% of the total, of whom 13 were diagnosed as vascular dementia (VaD), accounting for 30.23% of the total, ; MoCA score in VCI patients was positively correlated with education level. Conclusion: There is a large proportion of cognitive impairment in ischemic stroke patients, which needs to pay enough attention to the clinical. MoCA scale is a good tool for clinical assessment of cognitive function in ischemic stroke patients VCI screening in patients with ischemic stroke.