缺血性脑血管病患者认知功能分析

目的：探讨缺血性脑血管病患者认知功能。方法：将60例缺血性脑血管病患者依据卒中风险评分量表评分，分为轻危组20例、中危组22例、高危组18例；应用蒙特利尔量表进行认知功能评定。结果：（1）高危组与低危组在视空间和执行功能、注意力、计算力、抽象概括能力、命名、记忆、时间定向方面有显著性差异（P〈0．05）；中危组与低危组比较在视空间和执行功能、注意力、计算力、抽象概括能力、记忆各方面有显著性差异（P〈0．05）；视空间、命名、计算、语言、时间定向各方面中危组较高危组有显著性差异（P〈O．05）。（2）各项认知功能评分与血管因素进行相关分析，年龄、TIA或脑卒中、高血压与MOCA各项评分呈负相关。结论：缺血性脑血管病患者随着危险因素增多，其认知功能障碍越显著。

Analysis of Cognitive Function in Patients with Ischemic Cerebrovascular Disease

To investigate the cognitive ability of patient with ischemic cerebrovascular disease. Method： 60 patients with ischemic cerebrovascular disease were rated by stroke risk evaluation subscale, 20 patients are in low-risk group,22 patients are in medium-risk group and 18 patients are in high-risk group; Montreal scale is used to conduct cognitive function assessment. Remit： （1） There＇s significant difference in visual space, executive function, attentiveness, calculating ability, abstract generalization ability, naming ability, memory ability ability, time orientation ability among low-risk group, medium-risk group and low-risk group （P〈0.05）. （2） Rating of various cognitive function was negatively related with analysis of blood vessel factor, age, T/A, stroke, high blood pressure and various ratings of MOCA. Conclusion： Cognitive impairment is more obvious for patients with isehemic cerebrovaseular disease along with increasing dangerous factors.