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目的 分析急性脑卒中患者认知障碍与CT图象病变位置相关性。方法连续选择109例近期住院的急性脑卒中患者,入选对象接受了中文版简易智能状态量表(MMSE)评估,并按CT图象病变位置进行分组比较。结果前部病灶(病变部位在CT片前后轴前40%)组的MMSE总分均明显低于后部病灶患者,左半球病灶组MMSE总分均明显低于右半球脑卒中组,皮层病灶患者MMSE总分均明显低于皮层下患者(P<0.01,P<0.05)。结论急性脑卒中前部、左半球和皮层病灶患者较容易发生认知功能损伤。
Objective To analyze the correlation between cognitive impairment and CT pathological changes in acute stroke patients. Methods A total of 109 patients with acute stroke who were hospitalized recently were enrolled in the study. Subjects underwent MMSE assessment and were compared according to the location of CT images. Results The MMSE scores of the anterior lesion (lesion in 40% before and after CT) were significantly lower than those in the posterior lesion, the scores of MMSE in the left hemisphere lesion were significantly lower than those in the right hemisphere stroke and cortical lesion MMSE scores were significantly lower than those in patients with subcortical (P <0.01, P <0.05). Conclusion Patients with anterior cerebral infarction, left hemisphere and cortical lesions are more likely to have cognitive impairment.