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目 录
中文摘要 ···················································1
英文摘要 ···················································3
引 言 ····················································6
正 文 ····················································7
1.资 料 ···················································7
1.1 相关标准 ·················································7
1.2 研究对象 ················································10
2.方 法 ················································10
2.1 研究方法 ················································10
2.2 统计方法 ················································11
3.结 果 ················································11
4.讨 论 ················································15
5.存在的问题和展望 ······································21
结 论 ··················································22
参考文献 ··················································23
附 录 ··················································25
综 述 ··················································27
致 谢 ··················································36
攻读学位期间发表的学术论文目录 ·······················37
作者声明 ··················································38
个人简历 ··················································39
中 文 摘 要
目 的:通过探索脑出血 (Intracerebral Hemorrhage, ICH )后认知障碍
(Cognitive Impairment ,CI)与中风中医辨证分型的关系,认识其发病机制
和规律,为今后开展中医药对认知障碍的早期干预提供参考。
方 法:收集134 名脑出血患者,经头颅CT 及MRI 证实,通过简易精
神状态量表测定分为认知障碍组 61 例与非认知障碍组 73 例。各组分别
进行简易精神状态量表(Mini Mental State Examination ,MMSE)评测、事
件相关电位(Event-related Potential, ERP )-P300 检测、中医辨证分型。
研究各部分指标与认知障碍的相关性,对脑出血后认知障碍与中医辨证
分型的关系予以探讨。
结 果: 1. MMSE 评分:脑出血病人 MMSE 评分显著低于正常对照组
(P0.01) ,且脑出血后 CI 组 MMSE 评分显著低于脑出血后无 CI 组
(P0.01) 。2. ERP -P300 测定:脑出血后CI 组P300 潜伏期较脑出血后无
CI 组和正常对照组显著延长(P0.01) ,尽管脑出血后无CI 组的P300 潜伏
期较正常对照组有所延长,但无统计学差异(P0.05) ,P300 波幅在正常对
照组、脑出血后无 CI 组及脑出血后 CI 组依次降低,但
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