脑微出血危险因素和认知功能障碍的相关性

Correlation between risk factors of cerebral microhemorrhage and cognitive impairment

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(6)
作者
作者单位

西北工业大学 ;

摘要
目的:探讨脑微出血危险因素和认知功能障碍的相关性。方法:随机选取2018年5月至2019年5月我院脑卒中患者60例,随机分为2组:一组有脑微出血组(30例),一组无脑微出血组(30例),统计分析两组患者的一般资料、临床生化指标、认知功能,多元Logistic回归分析脑微出血危险因素,并分析其和认知功能障碍的相关性。结果:有脑微出血组患者中男性、高血压史、脑卒中史比例均显著高于无脑微出血组(P<0.05),年龄、NIHSS评分、血清IL-6、hs-CRP水平均显著高于无脑微出血组(P<0.05)。多元Logistic回归分析显示,脑微出血危险因素包括年龄、高血压史、脑卒中史、IL-6、hs-CRP、ApoE、Aβ、MMP-9(P<0.05)。年龄、高血压史、脑卒中史、IL-6、hs-CRP、ApoE、Aβ、MMP-9和MMSE评分、MoCA评分均呈显著的负相关关系(P<0.05)。结论:脑微出血危险因素和认知功能障碍显著相关。
Abstract
Objective: To explore the correlation between risk factors of cerebral microhemorrhage and cognitive impairment. Methods: 60 cases of patients with stroke in our hospital from May 2018 to May 2019 were randomly selected and divided into two groups: one group with cerebral microhemorrhage (30 cases) and the other group without cerebral microhemorrhage (30 cases). The general data, clinical biochemical indicators and cognitive functions of the two groups were statistically analyzed. The risk factors of cerebral microhemorrhage were analyzed by multiple logistic regression. The correlations between cognitive impairment and cognitive impairment were analyzed. Results: The proportions of male, hypertension and stroke of the with cerebral microhemorrhage group were significantly higher (P < 0.05). The age, NIHSS score, serum IL-6 and hs-CRP levels were significantly higher than the without cerebral microhemorrhage (P < 0.05). Multivariate logistic regression analysis showed that the risk factors of cerebral microhemorrhage included age, hypertension, stroke, IL-6, hs-CRP, ApoE, Aβ and MMP-9 (P < 0.05). Age, hypertension, stroke, IL-6, hs-CRP, ApoE, Aβ, MMP-9 and MMSE scores, MoCA scores were negatively correlated (P < 0.05). Conclusion: The risk factors of cerebral microhemorrhage are significantly correlated with cognitive impairment.
关键词
脑微出血;危险因素;认知功能障碍;相关性
KeyWord
Cerebral microbleeding; Risk factors; Cognitive dysfunction; Relevance
基金项目
页码 1067-1069
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牛爽*. 脑微出血危险因素和认知功能障碍的相关性 [J]. 国际精神病学杂志. 2019; 46; (6). 1067 - 1069.

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