文章摘要
胡昔权,窦祖林,万桂芳,丘卫红,朱洪翔.脑卒中患者认知功能障碍的发生率及其影响因素的探讨[J].中华物理医学与康复杂志,2003,(4):.-
脑卒中患者认知功能障碍的发生率及其影响因素的探讨
  
DOI:
中文关键词: 脑卒中  认知功能障碍  评估  神经行为认知状态测试
英文关键词: Stroke  Cognitive deficits  Assessment  NCSE
基金项目:广东省医学科研基金资助项目(No.B2001008)
作者单位
胡昔权,窦祖林,万桂芳,丘卫红,朱洪翔 510630广州中山大学附属第三医院康复医学科 
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中文摘要:
      目的了解脑卒中患者认知功能障碍的发生率并探讨其影响因素。 方法采用神经行为认知状态测试(NCSE)量表对在康复医学科住院的脑卒中患者216例进行认知功能评估,发现存在的问题, 并用统计学分析认知功能障碍与各影响因素间的关系。 结果216例脑卒中患者中有认知功能障碍的患者为94例,占43.5%,尤以记忆力、空间结构能力、计算能力容易受累,多数患者的认知能力为轻度~中度受损,一般涉及2~3个左右的认知项目;脑卒中患者认知功能障碍的发生与患者的性别、卒中类型无关(P>0.05),但与患者的年龄、文化程度、病程、病变部位、病灶大小和数量、卒中次数及有无合并疾病等密切相关(P<0.05或P<0.01)。 结论脑卒中患者认知功能障碍的发生率较高,NCSE量表可以作为认知功能障碍常规检查量表,以便早期发现脑卒中后认知障碍的问题并及时予以干预,临床上尤为重要。
英文摘要:
      Objective To investigate the incidence of cognitive deficits in stroke patients and its involved factors. MethodsThe neurobehavioral cognitive status examination (NCSE) was carried out in 216 inpatients with stroke in the department of rehabilitation medicine in order to assess their cognition function. ResultsAmong the 216 stroke patients, 94 patients (43.5 %) suffered from different kinds of cognitive disorders. The rate of compromised ability in memory, construction and calculation were higher than other disorders. Most cognitive disorders were in the range of mild to moderate degree. In general, 2~3 items of cognitive deficits were involved in these patients. The incidence of the cognition disorders following stroke was positively correlated with the age and educational level, course of the stroke, laterality and location of the brain lesions, the onset time as well as comorbidities such as hypertension, diabetes mellitus (P<0.05 or P<0.01). The incidence was negatively correlated with gender and types of brain lesions (P>0.05). ConclusionThe incidence of cognition disorder following stroke was high. It is suggested that NCSE be carried out early, so that cognitive deficits can be found in time.
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