缺血性脑卒中后痴呆的发生率及临床决定因素  

Incidence and clinical determinants of dementia after ischemic stroke

作　　者：朱红凤 

机构地区：[1]牡丹江市第一人民医院神经科,黑龙江牡丹江157000

出　　处：《中西医结合心血管病电子杂志》2017年第10期3-4,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的研究分析缺血性脑卒中后痴呆的发生率及临床决定因素,为临床上预防脑卒中后发生痴呆提供可行性参考。方法选取我院自2013年5月~2017年1月收治的共366例缺血性脑卒中患者的临床资料,根据有无病发痴呆分为痴呆组和非痴呆组,对造成痴呆可能的因素进行单因素及多因素相关回归分析,找出危险因素,并采取预防方法。结果所有患者之中并发痴呆患者为97例,痴呆发生率为26.5%,研究得出高血压、糖尿病、额叶、颞叶、胼胝体周围、体积大、病灶数目多、左半球、脑白质疏松症有关(P<0.05)。结论缺血性脑卒中后并发痴呆是由多种因素共同造成的,要引起临床医师高度重视并进行相关预防工作。Objective To study the incidence and clinical determinants of dementia after ischemic stroke, and to provide reference for the prevention of dementia after stroke. Methods Ln our hospital from May 2013-2017 year in May were a total of 366 cases of ischemic stroke in patient~ with clinical data,according to whether the disease dementia patients were divided into dementia and non dementia group,the single factor analysis and multiple logistic regression factors of dementia, and find out the risk factors,and take preventive methods.Results All the analysis with dementia patients for 97 cases of dementia, the incidence rate was 26.5%,of hypertension, diabetes,frontal lobe,temporal lobe,around the corpus callosum, bulky, the number of lesions, left hemisphere,leukoaraiosis related diseases （P〈0.05）.Conclusion Dementia after ischemic stroke is caused by a variety of factors, which should be paid attention to by clinicians.

关 键 词：缺血性脑卒中 脑缺血 痴呆 发病率 危险因素 

分 类 号：R741[医药卫生—神经病学与精神病学]