伴有认知功能障碍老年脑梗死患者病灶部位分布特点探究.doc

伴有认知功能障碍老年脑梗死患者病灶部位分布特点探究 　　[摘要] 目的 探究老年?X梗死患者病灶部位与认知功能障碍的相关关系。 方法 选择2013年2月～2015年2月于辽宁省金秋医院住院治疗的老年脑梗死患者132例作为研究对象，采用核磁共振等影像学手段确定患者的病灶部位，并对患者采用中文版蒙特利尔认知评估量表（MoCA）和简易精神状态量表（MMSE）进行评分，将其分为非功能障碍组（60例，MoCA评分≥26分，MMSE评分≥27分）和功能障碍组（72例，MoCA评分 0.05）。 结论 老年脑梗死患者病灶部位与认知功能障碍存在一定的相关性。为促进患者认知功能的早日康复，提高其生活质量，必须加强认知功能障碍的早期诊断，并及时治疗 [关键词] 脑梗死；认知功能障碍；病灶部位 [中图分类号] R743.33 [文献标识码] A [文章编号] 1673-7210（2016）12（b）-0065-04 Research on the distributive characteristics of locations of brain lesions in elderly patients with cerebral infarction complicated by cognitive impairment XIE Xin1 BAI Fusheng1 SUN Shuning1 LI Zhixian2 1.Department of Neurology， Jinqiu Hospital of Liaoning Province， Liaoning Province， Shenyang 100013， China； 2.Department of Radiology， Jinqiu Hospital of Liaoning Province， Liaoning Province， Shenyang 100013， China [Abstract] Objective To explore the relationship between the locations of brain lesions and cognitive impairment in elderly patients with cerebral infarction. Methods One hundred and thirty-two cases of elderly patients with cerebral infarction hospitalized in Jinqiu Hospital of Liaoning Province from February 2013 to February 2015 were selected as research objects， the locations of brain lesions were determined by magnetic resonance imaging and other imaging technologies， and the patients were graded by Montreal cognitive assessment （MoCA） of Chinese version and mini-mental state examination （MMSE）， they were divided into non-dysfunction group （60 cases， MoCA scores≥26 points， MMSE scores≥27 points） and dysfunction group （72 cases， MoCA scores 0.05）. Conclusion There is a certain correlation between the locations of brain lesions and cognitive impairment in elderly patients with cerebral infarction. It is necessary to strengthen the early diagnosis of cognitive impairment and to treat timely， so as to promote the early rehabilitation of cognitive function and improve the quality of life. 　　[Key words] Cerebral infarction； Cognitive impair