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目的探讨短暂性脑缺血发作(TIA)患者认知功能、日常活动能力和情绪状况。方法选择在天津市东丽区东丽医院就诊的66例TIA为观察组,选择80例同期在该院健康查体者为对照组,所有研究对象进行认知功能、日常活动能力以及抑郁焦虑状况的评估。认知功能的评估采用中文版蒙特利尔认知评估量表(MoCA),日常活动能力的评估采用日常生活活动能力量表(ADL),抑郁和焦虑状况的评定采用医院抑郁焦虑量表(HADS)。结果 TIA患者在视空间与执行功能、记忆、注意等方面得分以及MoCA总分均明显低于对照组,ADL评分和焦虑人数比例均高于对照组,差异均具有统计学意义(P<0.05)。结论 TIA患者大都伴有不同程度认知功能障碍,主要体现在视空间与执行功能、记忆和注意方面,TIA患者日常活动能力较差,还普遍存在焦虑情绪。
Objective To investigate the cognitive function, daily activities and emotional status of patients with transient ischemic attack (TIA). Methods Sixty-six TIA patients treated in Toray Hospital of Dongli District of Tianjin were selected as the observation group and 80 patients in the same period were selected as the control group. All subjects were assessed for cognitive function, daily activities, and anxiety and depression evaluation of. Cognitive function was assessed using the Chinese version of the Montreal Cognitive Assessment Scale (MoCA), assessment of daily activity using the daily living activity scale (ADL), and depressive and anxiety conditions using the Hyperactive Depression Anxiety Inventory (HADS). Results The scores of visual acuity and memory function, memory, attention and scores of MoCA in TIA patients were significantly lower than those in control group. The scores of ADL and anxiety were higher in patients with TIA than those in control group (P <0.05) . Conclusion Most patients with TIA have cognitive dysfunction, which is mainly manifested in the visual space and executive function, memory and attention, TIA patients with poor daily activities, but also widespread anxiety.