Journal of International Psychiatry

[Abstract] Objective To study the relationship between H-Type hypertension and cognitive dysfunction after cerebral infarction. Methods Fifty patients with H-type hypertension combined cerebral infarction from January 2018 to January 2020 in our hospital were selected as the study subjects. Fifty patients with simple hypertension combined with cerebral infarction and non-hypertensive cerebral infarction were selected by age and gender matching during the same period of admission. They were divided into A, B, C groups. The serum homocysteine (Hcy) levels among three groups of patients were compared. The Montreal Cognitive Function Scale (MoCA) was used to evaluate the incidence of cognitive dysfunction among the three groups of patients. The differences in the cognitive domains of the scale were compared. Results The serum Hcy level and the incidence of cognitive dysfunction in group A were significantly higher than those in group B and group C, the difference was statistically significant (P<0.05). There was no statistically significant difference between group B and group C (P>0.05). The delayed recall, visual space and executive function, attention, nomenclature, and total MoCA scale in the MoCA scale of group A were significantly lower than those of group B and group C, and the differences were statistically significant (P<0.05). Differences in language, abstract thinking, and orientation were not statistically significant (P>0.05). The visual space and executive function of group B and the total score of MoCA were significantly lower than those of group C, the differences were statistically significant (P<0.05). Conclusion Patients with H-type hypertension and cerebral infarction have a higher incidence of cognitive dysfunction, and their cognitive impairment mainly focuses on delayed recall, visual space and executive function, attention, and naming.