脑小血管病性认知功能损害患者的短期预后影响因素分析  

Analysis of the short-term prognostic factors in patients with cerebral small vascular cognitive impairment

作　　者：安晓雷[1] 曹丽霞[1] 郭靖[1] 李晓宾[1] 

机构地区：[1]江苏省徐州市中心医院神经内科,徐州221009

出　　处：《神经病学与神经康复学杂志》2011年第3期108-110,共3页Journal of Neurology and Neurorehabilitation

基　　金：2009年徐州市科技计划资助项目(编号:XM09B066)

摘　　要：目的探讨影响脑小血管病性认知功能损害(SVCI)患者短期预后的相关因素。方法对60例SVCI患者予以常规治疗并3月后随访认知功能的变化,对可能影响患者预后的相关因素进行分析。结果分析显示在α=0.05的水平上,基线时糖化血红蛋白水平(Hb1AC)<5.0%、收缩压(SBP)水平<130 mmHg及蒙特利尔认知评估(MoCA)评分>20分者的短期预后较好。结论 Hb1AC、SBP和MoCA评分可能影响SVCI患者的短期认知预后。Objective To explore the factors which may effect the short-term prognosis in patients with cerebral small vascular cognitive impairment(SVCI).Methods Sixty patients with SVCI were treated conventionally and followed-up for three months,their cognitive changes and possible influencing factors were collected and analyzed.Results At the level of α=0.05,the patients with baseline glycated hemoglobin(Hb1AC) level less than 5.0%,systolic blood pressure(SBP) less than 130 mmHg,and Montreal Cognitive Assessment(MoCA) score greater than 20 had a good short-term prognosis.Conclusion The level of Hb1AC,SBP,and MoCA score may affect the short-term prognosis in patients with SVCI.

关 键 词：脑小血管病 认知功能障碍 预后 

分 类 号：R749.1[医药卫生—神经病学与精神病学]