探讨伴有认知功能障碍老年脑梗死患者的病灶部位分布特点  

Study on the Distribution of Focal Location in Patients With Cerebral Infarction With Cognitive Impairment

作　　者：曹利[1] 戴艳萍[1] 张春媛[1] 靳美[1] 齐丹[1] 李军[1] CAO Li;DAI Yanping;ZHANG Chunyuan;JIN Mei;QI Dan;LI Jun(Department of Neurology,Heilongjiang Provincial Hospital,Harbin Heilongjiang 150001,China)

机构地区：[1]黑龙江省医院神经内科,黑龙江哈尔滨150001

出　　处：《中国卫生标准管理》2018年第7期63-65,共3页China Health Standard Management

摘　　要：目的对老年脑梗死患者的梗死部位和认知功能障碍之间的联系进行研究分析。方法根据我院接收的132例脑梗死老年患者开展分析研究,为患者进行核磁共振检查,确定病灶部位,使用蒙特利尔认知评估量表(Mo CA)和简易精神状态量表(MMSE)进行评分,分成非功能障碍组60例,功能障碍组72例,对患者的梗死部位和认知功能障碍情况联系性进行研究分析。结果非功能障碍组有20例患者的病变部位是大脑后动脉供血区,有25例是大脑中动脉供血区,其他部位15例。功能障碍组和非功能障碍组患者的部位对比,前者的大脑前部、左侧大脑半球和皮层的比例较高(均P<0.05);内囊前、后肢的比例差异无统计学意义(P>0.05)。结论老年梗死患者的病变部位和认知功能障碍存在关联性。临床中加强认知功能诊断,能够促患者认知功能恢复。Objective To study the relationship between infarct location and cognitive impairment in elderly patients with cerebral infarction.Methods 132 elderly patients with cerebral infarction were enrolled into the study,MRI was used to determine the lesion location,Montreal cognitive assessment scale(MoCA)and mini mental state scale(MMSE)were used to divided the patients into non dysfunction group of 60 cases,and dysfunction group of 72 cases,the relationship of infarction and cognitive function was studied.Results There were 20 patients in the non dysfunction group with the posterior cerebral artery blood supply area,25 cases of the middle cerebral artery blood supply area,and the other 15 cases.The proportion of the anterior cerebral cortex,the left hemisphere and the cortex was higher in the dysfunctional group than those in the non functional group(all P<0.05).The proportion of the anterior and posterior limbs of the internal capsule was not different(P>0.05).Conclusion There is a correlation between the lesion location and cognitive dysfunction in the elderly patients with infarction.To strengthen the diagnosis of cognitive function in clinic can promote the recovery of cognitive function.

关 键 词：脑梗死 认知功能障碍 病灶部位 

分 类 号：R651[医药卫生—外科学]