Elderly vascular dementia clinical analysis of 41 cases.docVIP

 PAGE \* MERGEFORMAT 10 Elderly vascular dementia clinical analysis of 41 cases Study: High-Yi Wang Yumin Ci Shuping Liu Wenhua Zhang Xilong [Keywords:] vascular dementia, elderly, clinical analysis Vascular dementia (VD) is caused by cerebrovascular disease and cognitive dysfunction intelligent clinical syndrome, is second only to Alzheimer disease (AD), the second common dementia. With the aging of the population, VD patients also gradually increased. relative to other types of dementia, VD good prognosis, is the prevention of dementia can be and hopefully one of the treatment of dementia. I admitted to hospital in the past 10 years, 41 cases of elderly patients with VD, the clinical features are and the risk factors discussed below. 1 Clinical data 1.1 General Information The group of 41 patients, all male, aged 67 to 86 years, average 72.4 years old. VD diagnosed using mini-mental state examination Folstain (MMSE), Hachinski Ischemic Scale (HIS) score standards. 1.2 The cause of 41 cases of VD in patients with primary brain vascular disease are based on fourth national Stroke Conference diagnostic criteria established by clinical examination and cranial CT scan confirmed. Atherosclerotic cerebral infarction of which 20 cases (17 of multifocal infarction cases, a single focal infarction in 3 cases), lacunar infarction in 7 cases, 7 cases of cerebral hemorrhage, subcortical arteriosclerotic encephalopathy (Binswanger disease) in 7 cases. 1.3 31 cases of hypertension risk factors, history of heart disease in 32 cases, including 3 cases of coronary heart disease with chronic atrial fibrillation, atrial, ventricular premature beats in 8 cases, conduction block in 9 cases, 5 cases of old myocardial infarction, the other 7 cases , 2 cases of hyperlipidemia, diabetes in 14 cases, 26 cases of smoking and drinking. stroke history: 1 Stroke 9 cases, 2 in 12 cases, 3 times in 6 cases, 4 times in 2 cases. 1.4 clinical and neurological signs 41