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选择我院168例神经内科急性脑梗死住院患者,脑白质疏松组105例,非脑白质疏松组63例。通过MMSE,MOCA和NIHSS来评估各组认知功能。结果非脑白质疏松组MMSE评分(27.39±2.31)与各级脑白质疏松组均有统计学差异(P<0.05)。脑白质疏松组分别为22.41±3.72,16.39±3.54,10.17±3.15,6.12±3.64;非脑白质疏松组MOCA评分(28.24±2.04)明显高于脑白质疏松组(P<0.05)。脑白质疏松组分别为23.78±2.76,20.31±2.19,18.22±2.03,15.69±2.51;脑白质疏松组NIHSS评分显著高于非脑白质疏松组NIHSS评分(3.14±1.58)(P<0.05)。脑白质疏松组分别为6.15±2.49,8.19±2.83,10.71±2.24,13.93±2.17。脑梗死患者伴有脑白质疏松症更容易发生认知障碍。
Select our hospital 168 cases of neurology in patients with acute cerebral infarction, 105 cases of brain leukoaraiosis group, 63 cases of non-brain leukoaraiosis group. MMSE, MOCA and NIHSS were used to assess cognitive function in each group. Results The MMSE score of non - brain leukoaraiosis group (27.39 ± 2.31) was significantly different from that of all groups of leukoaraiosis group (P <0.05). The levels of MOCA in the group of leukoaraiosis were 22.41 ± 3.72,16.39 ± 3.54,10.17 ± 3.15,6.12 ± 3.64, respectively. The MOCA score in the group of non-brain leukoaraiosis was significantly higher than that of the group with the group of cerebral psoriasis (P <0.05). The levels of NIHSS in the group with leukoaraiosis were 23.78 ± 2.76, 20.31 ± 2.19, 18.22 ± 2.03 and 15.69 ± 2.51, respectively. The NIHSS score in the group with leukoaraiosis was significantly higher than that in the non-brain group with osteoporosis (3.14 ± 1.58) (P <0.05). Lewy white group were 6.15 ± 2.49,8.19 ± 2.83,10.71 ± 2.24,13.93 ± 2.17. Patients with cerebral infarction associated with leukoaraiosis is more prone to cognitive impairment.