论文部分内容阅读
目的:探讨脑卒中患者的认知功能障碍程度及其临床意义。方法:采用简易精神状态量表(MMSE)和临床痴呆量表(CDR)检查脑卒中35例患者的认知功能状态,并比较其障碍的程度。结果:(1)多病灶卒中组比单病灶卒中组MMSE评分低,差异有统计学意义。(2)言语复述、注意、计算和短时记忆评分显著降低。结论:脑卒中患者大多有轻度认知功能障碍,主要表现记忆障碍,包括定向、注意、计算、执行功能在内的全面认知功能减退。脑卒中对基本认知功能的影响与卒中面积大小、病灶部位和数目有关。
Objective: To investigate the degree of cognitive dysfunction in stroke patients and its clinical significance. Methods: The cognitive function of 35 patients with stroke was examined by MMSE and CDR, and the degree of their impairment was compared. Results: (1) The score of MMSE in multi-lesion stroke group was lower than single-stroke stroke group, the difference was statistically significant. (2) Verbal repetition, notice, calculation and short-term memory score decreased significantly. CONCLUSIONS: Most stroke patients have mild cognitive impairment, which mainly manifests as memory impairment, and comprehensive cognitive decline, including orientation, attention, calculation and executive function. The impact of stroke on basic cognitive function is related to the size of the area of the stroke, the location and number of lesions.