脑梗死后血管性认知障碍的危险因素探讨  

Risk factors of vascular cognitive impairment after cerebral infarction

作　　者：杨小旺[1] 滕兆平 褚小朋 杨永新[1] 孙昌永 高丽 张富山[1] YANG Xiao-wang;TENG Zhao-ping;ZHU Xiao-peng(Department of Neurology,The People′s Hospital of Jiangdu,Yangzhou 225200,China)

机构地区：[1]扬州市江都人民医院神经内科,江苏扬州225200

出　　处：《吉林医学》2018年第11期2005-2007,共3页Jilin Medical Journal

摘　　要：目的:探究脑梗死后血管性认知障碍(VCI)的危险因素。方法:选取脑梗死患者68例,并随机分为两组,分别为研究组和对照组,对照组为34例不存在认知障碍的脑梗死患者,研究组为34例存在认知障碍的脑梗死患者。比较两组脑梗死患者患有认知障碍的影响因素,并采用多因素Logistic回归分析脑梗死后相关影响因素。结果:单因素分析结果表明,研究组患者的低水平教育、高龄所占比例以及糖尿病、高血压、冠心病、大面积梗死等的发生率都高于对照组,差异有统计学意义(P <0. 05),多因素Logistic回归分析表明,高龄、糖尿病、左侧梗死以及血管梗死、大面积梗死等是脑梗死后血管性认知障碍的危险因素(P <0. 05)。结论:血管性认知障碍是脑梗死后发生的症状,与许多因素有关。Objective To explore the risk factors of vascular cognitive impairment （VCI） after cerebral infarction. Method 68 patients with cerebral infarction were randomly divided into two groups：the study group and the control group.In the control group,there were 34 cases of cerebral infarction without cognitive impairment,and 34 cases of cerebralinfarction in the study group.The influencing factors of cognitive impairment were compared between the two groups of patients with cerebral infarction.Multivariate Logistic regression analysis was used to analyze the related factors aftercerebral infarction. Results 〖KG＊2〗The results of single factor analysis showed that the incidence of low level education,older age,diabetes,hypertension,coronary heart disease and large area infarction were higher in the study group than in the control group （ P 〈0.05）. Multiple factor Logistic regression analysis showed that age,diabetes,leftlateral infarction,vascular infarction and large area infarction. It was a riskfactor for vascular cognitive impairment after cerebral infarction （ P 〈0.05）.Conclusion Vascular cognitive impairment is a symptom after cerebral infarction.It is related to many factors.

关 键 词：脑梗死 血管性 认知障碍 危险因素 

分 类 号：R749.13[医药卫生—神经病学与精神病学]