脑微出血与认知功能障碍的相关危险因素分析

Analysis on related dangerous factors of cerebral microbleeds and cognitive dysfunction.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

长沙市第一医院神经内科 ;

摘要
研究分析脑微出血患者与认知功能障碍的相关危险因素。方法 回顾性分析2013年3月至2015年3月期间我院收治的短暂性脑缺血发作患者、腔隙性脑梗死患者280例,按照蒙特利尔认知评估表(MoCA)评分将患者分成两组,其中将蒙特利尔认知评估表评分≥26分的患者180例作为正常组,评分<26分的患者100例作为异常组。研究分析两组脑微出血患者与认知功能障碍的相关危险因素。结果 单因素分析显示,两组患者的CMB阳性例数,数量,接受教育的时间、脑白质的疏松例数差异有统计学意义(P <0.05);logistic回归分析对患者的影响因素进行分析显示CMB阳性例数,CMB的数量,接受教育的时间的OR值分别是4.57,1.44,0.71(P <0.05)。结论 脑微出血阳性以及脑微出血的数量是认知功能降低的危险因素,可与其他脑血管疾病危险因素同时存在。
Abstract
Abstract】Ojective To study the related dangerous factors of cerebral microbleeds and cognitive dysfunction.Methods 280 patients with transient ischemic attack and lacunar infarct treated in our hospital from March 2013 toMarch 2015 were retrospectively studied and selected to be divided into 2 groups according to Montreal Cognitive As-sessment(MoCA)score,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ (MoCA)score,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ MoCA)score,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ )score,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ score,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ ,and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ and180cases’score≥26wasregardedasthenormal group,whileanother100cases’ 180cases’score≥26wasregardedasthenormal group,whileanother100cases’ 180 cases’ score ≥ 26 was regarded as the normal group,whileanother100cases’ ,whileanother100cases’ while another 100 cases’score <26waslookedastheabnormal group. Therelateddangerousfactorsof cerebral microbleedsandcognitivedys- <26waslookedastheabnormal group. Therelateddangerousfactorsof cerebral microbleedsandcognitivedys- 26 was looked as the abnormal group. The related dangerous factors of cerebral microbleeds and cognitive dys-function was analyzed. Results Single factor analysis showed difference in the cases of positive CMB,theamount of ,theamount of the amount ofCMB,theeducationtimeandleukoaraiosiscaseshadstatisticalsignificance( ,theeducationtimeandleukoaraiosiscaseshadstatisticalsignificance( the education time and leukoaraiosis cases had statistical significance(P <0.05). Logisticregressionanalysisof ). Logisticregressionanalysisof . Logistic regression analysis ofthe influence factors to patients demonstrated cases of positive CMB,thenumberofCMBandtheeducationtime’sOR ,thenumberofCMBandtheeducationtime’sOR the number of CMB and the education time’s ORvalue was 4.57,1.44,0.71respectively( ,1.44,0.71respectively( 1.44,0.71respectively( ,0.71respectively( 0.71 respectively(P <0.05). ). Conclusion Positive CMB and the number of it was the risk fac-tors of cognitive dysfunction,coexistedwithothercrebrovasculardiseases. ,coexistedwithothercrebrovasculardiseases. coexisted with other crebrovascular diseases.
关键词
认知功能障碍;脑微出血;蒙特利尔认知评估表;腔隙性梗死
KeyWord
】 Key words】 Cognitive dysfunction;Cerebralmicrobleeds;MontrealCognitiveAssessment;Lacunarinfarction ;Cerebralmicrobleeds;MontrealCognitiveAssessment;Lacunarinfarction Cerebral microbleeds;MontrealCognitiveAssessment;Lacunarinfarction ;MontrealCognitiveAs
基金项目
页码 230-232
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余孝君*,柳四新,王爱民,田 怡. 脑微出血与认知功能障碍的相关危险因素分析 [J]. 国际精神病学杂志. 2016; 43; (2). 230 - 232.

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