老年高血压合并认知功能障碍的相关因素分析及对生活质量的影响  

The Related Factors Analysis on Elderly Hypertension Patients with Cognitive Impairment Related Factors Analysis and the Influence on Their Quality of Life

作　　者：戚萌[1] 王晓丽[1] 

机构地区：[1]辽宁医学院附属第一医院老年医学科,辽宁锦州121000

出　　处：《医学与哲学（B）》2015年第4期46-48,共3页Medicine & Philosophy(B)

摘　　要：研究老年高血压患者与发生认知功能障碍的相关因素。采用简易精神量表(MMSE)、简明健康调查问卷(SF-36)对258例高血压患者进行认知功能及生活质量评分,按是否存在认知功能障碍分为认知功能障碍组及认知功能正常组,进行相关因素分析,并比较两组的生活质量差异。年龄、颈动脉狭窄、高血糖、血脂异常、是否进行体育锻炼、脑血管病、收缩压的变异对于认知功能障碍发生有显著差异,高血压患者合并认知功能障碍较无认知障碍组生活质量下降,差异有统计学意义。脑血管病史、收缩压晨峰是高血压患者发生认知功能障碍的危险因素。应提倡全面改善生活方式,以降低高血压患者的认知功能障碍并改善生活质量。To evaluate the related factors between hypertension （HP） and cognitive impairment （CI） .258 HP patients were selected ,mini mental state examination （MMSE） was used to assess each selected subjects＇cognitive function .They were divided into two groups by the score ,and the related factors of CI were analyzed .And the quality of the two groups were compared with the scores of the MOS 36‐Item short from health survey （SF‐36） .The differences in age ,carotid artery stenosis ,blood glucose ,hyperlipoidemia ,whether or not adhere to exercise ,cerebrovascular disease history ,and systolic blood pressure variability ,had statistical significance between CI group and cognitive function normal group .HP patients with CI seriously affects their life quality .Cerebrovascular disease ,morning SBP surge are the risk factors of HP patients with CI .In order to correct CI and improve life quality ,intervention measures to life style should be promoted and adopted .

关 键 词：高血压 认知功能障碍 生活质量 脑血管病史 收缩压晨峰 

分 类 号：R544.1[医药卫生—心血管疾病]