Cerebral arterial blood flow,attention,and executive and cognitive functions in depressed patients after acute hypertensive cerebral hemorrhage  

作　　者：Ya-Zhao Zhang Cong-Yi Zhang Ya-Nan Tian Yi Xiang Jian-Hui Wei 

机构地区：[1]Department of Neurosurgery,Hengshui People's Hospital,Hengshui 053000,Hebei Province,China [2]Department of Ultrasound,Second People's Hospital of Hengshui City,Hengshui 053000,Hebei Province,China [3]Department of Neurology,Hengshui People's Hospital,Hengshui 053000,Hebei Province,China

出　　处：《World Journal of Clinical Cases》2024年第19期3815-3823,共9页世界临床病例杂志

摘　　要：BACKGROUND Intracerebral hemorrhage mainly occurs in middle-aged and elderly patients with hypertension,and surgery is currently the main treatment for hypertensive cerebral hemorrhage,but the bleeding caused by surgery will cause damage to the patient's nerve cells,resulting in cognitive and motor dysfunction,resulting in a decline in the patient's quality of life.AIM To investigate associations between cerebral arterial blood flow and executive and cognitive functions in depressed patients after acute hypertensive cerebral hemorrhage.METHODS Eighty-nine patients with depression after acute hypertensive cerebral hemorrhage who were admitted to our hospital between January 2019 and July 2021 were selected as the observation group,while 100 patients without depression who had acute hypertensive cerebral hemorrhage were selected as the control group.The attention span of the patients was assessed using the Paddle Pin Test while executive function was assessed using the Wisconsin Card Sorting Test(WCST)and cognitive function was assessed using the Montreal Cognitive Assessment Scale(MoCA).The Hamilton Depression Rating Scale(HAMD-24)was used to evaluate the severity of depression of involved patients.Cerebral arterial blood flow was measured in both groups.RESULTS The MoCA score,net scores I,II,III,IV,and the total net score of the scratch test in the observation group were significantly lower than those in the control group(P<0.05).Concurrently,the total number of responses,number of incorrect responses,number of persistent errors,and number of completed responses of the first classification in the WCST test were significantly higher in the observation group than those in the control group(P<0.05).Blood flow in the basilar artery,left middle cerebral artery,right middle cerebral artery,left anterior cerebral artery,and right anterior cerebral artery was significantly lower in the observation group than in the control group(P<0.05).The basilar artery,left middle cerebral artery,right middle cerebral artery,left ante

关 键 词：Acute hypertensive cerebral hemorrhage DEPRESSION Cerebral arterial blood flow ATTENTION Executive ability Cognitive function 

分 类 号：R473[医药卫生—护理学]