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本研究采用CCSE和FAQ2个量表对113例脑血管疾病(CVD)患者和23例健康中老年人进行智能测验。其中82例脑梗死患者和引例脑出血患者并发智能障碍(ID)者分别为37例和14例,患病率均为45.1%。31例脑出血患者中,11例伴有脑梗死灶,其中有8例并发ID,患病率为72.7%;20例不伴梗死灶者,有6例并发ID,患病率为30%,两者相比差异显著(P<0.05)。提示出血性和缺血性CVD均可引起ID,而缺血性因素更为重要。伴有棱死灶和白质疏松(LA)是脑出血导致ID的重要因素,并发LA、脑萎缩、高粘血症和高脂血症是脑梗死导致ID的重要因素;CVD病变部位(双侧半球、丘脑)、病灶体积、多灶损伤及反复发作等对智能障碍均有重要影响。年龄、性别、文化程度与ID的发生也有关系。
In this study, 113 patients with cerebrovascular disease (CVD) and 23 healthy middle-aged and elderly patients were tested for intelligence using the CCSE and FAQ2 scales. 82 cases of cerebral infarction and cited cerebral hemorrhage were associated with intellectual disabilities (ID) were 37 cases and 14 cases, the prevalence rate was 45.1%. Among the 31 patients with cerebral hemorrhage, 11 patients had cerebral infarction, of which 8 patients were complicated with ID, the prevalence was 72.7%. In 20 patients without infarction, 6 patients had concurrent ID with a prevalence of 30 %, Significant difference between the two (P <0.05). Tip hemorrhagic and ischemic CVD can cause ID, and ischemic factors are more important. Accompanied by arcuate edge and white matter looseness (LA) is an important factor in ID caused by cerebral hemorrhage. Concurrent with LA, cerebral atrophy, hyperviscosity and hyperlipidemia are important factors of ID caused by cerebral infarction. The location of CVD lesions Hemisphere, thalamus), lesion volume, multifocal damage and recurrent episodes have important implications for mental retardation. Age, gender, educational level and the occurrence of ID is also related.