老年脑梗死患者认知障碍发生的相关因素及甲钴胺的干预作用

The risk factors of cognitive impairment in elderly patients with cerebral infarction and the intervention of mecobalamine

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

哈尔滨医科大学附属第一医院国际医学部 ;

摘要
[摘要]目的:分析老年脑梗死患者认知障碍发生的危险因素及甲钴胺的干预作用。方法:选取2010年1月-2015年1月期间我院收治的310例脑梗死患者作为研究对象,比较认知障碍(CI)及未发生认知障碍(NCI)的临床资料,分析CI发生的危险因。比较服用甲钴胺及未服用甲钴胺患者CI的发生率,分析甲钴胺的干预作用。结果:310例患者中,107例出现CI,发生率34.52%。年龄、受教育年限(≤6年)、糖尿病、左侧梗死、大面积梗死、脑白质疏松、IL-6及UA时CI发生的相关因素(P<0.05)。310例患者中,142例在住院期间应用甲钴胺,其中28例(19.72%)出现CI;未服用甲钴胺的患者的CI发生率为47.02%(79/168),差异具有统计学意义(χ2=24.192,P<0.05)。校正年龄、糖尿病、左侧梗死、大面积梗死、脑白质疏松、IL-6及UA等干扰因素后,甲钴胺与CI的发生呈负相关,相关性具有显著意义(P<0.05)。结论:老年脑梗死患者认知障碍的发生于多种因素有关,甲钴胺能够改善患者的认知功能。
Abstract
[Abstract] Objective: To analyze the risk factors of cognitive impairment in elderly patients with cerebral infarction and the intervention of mecobalamine. Methods: From January 2010 to January 2015, 310 patients were chosen as study objects, the clinical data were compared between CI and NCI patients, and the risk factors of cognitive impairment were analyzed. The CI rate were compared between patient treated with mecobalamine or not, and the intervention of mecobalamine was analyzed. Results: 107 patients (34.52%) were diagnosed with cognitive impairment (CI). Age, duration of education (≤6 years), diabetes, left infarction, large area infarction, leukoarailosis, IL-6 and UA were risk factors of cognitive impairment(P<0.05). 28 patients (19.72%) treated with mecobalamine and 79 patients (47.02%) who were not were diagnosed with CI, the difference had statistical significance(χ2=24.192,P<0.05).After adjustment of age, duration of education, diabetes, left infarction, large area infarction, leukoarailosis, IL-6 and UA use of mecobalamine was significantly related to cerebral impairment(P<0.05).Conclusion: Cognitive impairment in elderly patients is related to multiple factors, and mecobalamine could help improve cognitive function.
关键词
[关键词]脑梗死;认知障碍;甲钴胺
KeyWord
[Key words] cerebral infarction; cognitive impairment; mecobalamine
基金项目
页码 64-67
  • 参考文献
  • 相关文献
  • 引用本文

罗晓桐*,于晶,洪楠,李莹. 老年脑梗死患者认知障碍发生的相关因素及甲钴胺的干预作用 [J]. 国际精神病学杂志. 2017; 44; (1). 64 - 67.

  • 文献评论

相关学者

相关机构