脑卒中后血管性认知功能损害的临床观察  

Clinical observation of vascular cognitive impairment after stroke

作　　者：刘晓林[1] 路屹[1] 李强[1] 张郁文[1] 陈齐鸣[1] 屈洪党[1] 吴国林[1] 韦道祥[1] 钱伟东[1] 

机构地区：[1]蚌埠医学院附属医院神经内科,安徽蚌埠233004

出　　处：《解剖与临床》2005年第3期222-223,共2页Anatomy and Clinics

摘　　要：目的:对脑卒中后血管性认知功能损害的情况及治疗效果进行初步观察.方法:采用开放、自身前后对照研究方法,比较简易智能量表(MMSE)对49例脑卒中后患者进行治疗及血管性认知功能测试.结果:随访49例,有不同程度认知障碍者39例(79.6%),其中30例为轻度认知障碍(76.9%).治疗前MMSE(25.41±3.10)分,治疗后4周及12周时MMSE分别为(26.84±6.18)分和(28.16±3.60)分,治疗前后MMSE分值差异有高度显著性(P＜0.001).结论:脑卒中后1～3个月轻度血管性认知功能损害普遍存在,治疗效果显著.Objective： To observe the vascular cognitive impairment after stroke and the therapeutic efficacy. Mellmds： We adopted the open and anteroposterion self-control investigation. The therapy and vascular cognition of 49 of stroke were tested by mini - mental state examination（ MMSE）. Results： Among the 49 cases followed up, 39 cases （79.6%）had different degree Of cognitive impairment,but the impairment was slight in 30 of the case （76.9%） .Their MMSE score was 25.41 ± 3.10 before therapy, but the score was 26.8 ± 6.18 and 28.16 ± 3.60 4 weeks and 12 weeks after therapy. The difference was significant （ P 〈 0. 001 ）. Conclusion： Slight cognitive impairment generally exists 1 - 3 months after stroke. The curative effect was satisfactory.

关 键 词：血管性认知功能损害 脑卒中 

分 类 号：R749.1[医药卫生—神经病学与精神病学]