探讨高血压患者的认知能力与相关因素

To explore the cognitive ability and the related factors of patients with high blood pressure

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

北京市海淀区东升镇社区卫生服务中心 ;
第四军医大学第一附属医院(西京医院)输血科 ;
海淀区学院路社区卫生服务中心 ;
赛诺菲(中国)投资有限公司 ;

摘要
摘要:分析高血压患者的认知能力与其相关影响因素。方法 随机选取2015年3月- 2016年3月在我院接受治疗的高血压患者共有100例,将其设为高血压组;在该阶段选取在医院参加体检的100例健康人将其设为健康组。结果 高血压组患者的认知能力和短期客体工作记忆能力评分均低于健康组,组间差异存在统计学方面的意义(P < 0.05);高血压组患者的焦虑和抑郁评分均高于健康组,组间差异存在统计学方面的意义(P < 0.05);两组随年龄的增加认知能力评分逐渐降低(P < 0.05),脑力劳动、轻度体力劳动与重度体力劳动患者的认知能力评分存在统计学方面的差异(P < 0.05)。经Pearson分析,高血压组患者的高血压程度与认知能力评分、短期客体工作记忆能力之间为明显地负性相关(P < 0.05)。结论 高血压患者的认知能力和短期客体工作记忆能力会降低,且随病情的严重而恶化,常伴有抑郁和焦虑等不良心理,尤其是老年人与体力劳动者更应该警惕认知能力的减退。高血压患者可在日常进行适当的脑力训练以减缓认知能力的损伤。
Abstract
Abstract: Objective To analyze the cognitive function and related factors in patients with hypertension. Methods 100 patients with hypertension were randomly selected as hypertension group in our hospital from March 2015 to March 2016. In the same period, 100 healthy people were selected as healthy group. Results The scores of MMSE and short-term visual-object working memory Test in hypertension group were lower than those in the healthy group, there were statistically significant difference (P < 0.05). The scores of anxiety and depression in hypertension group were higher than those in the healthy group, there were statistically significant difference (P < 0.05). The scores of MMSE decreased with age (P<0.05), the scores of MMSE of mental labor, mild physical labor and physical labor in patients were statistically significant difference (P<0.05). The Pearson analysis showed that there were significant negative correlation between the degree of hypertension and the scores of MMSE and short-term object working memory (P<0.05). Conclusion cognitive ability and short-term object working memory of hypertension patient would reduce, and they would deterioration with disease progression. The patients with hypertension often accompanied by depression and anxiety, especially the elderly and laborers’ cognitive ability. The patients with hypertension can carry out mental training to reduce cognitive impairment.
关键词
关键词:高血压;认知能力;相关因素;记忆
KeyWord
Key words: Hypertension; Cognitive ability; Related factors; Memory
基金项目
页码 683-685
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王学莲,宁正颖*,刘存午,何东清. 探讨高血压患者的认知能力与相关因素 [J]. 国际精神病学杂志. 2017; 44; (4). 683 - 685.

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