急性脑卒中后认知功能障碍48例临床分析

目的：探讨急性脑卒中后认知功能障碍的相关临床因素,以早期诊断和治疗,促进康复。方法：用韦氏成人智力量表（WAIS-RC）对48例患者进行认知功能测查,利用头部CT进行病灶部位检测,结合患者临床资料,分析其认知功能障碍的相关临床因素。结果：认知功能障碍与性别、文化程度等因素无明显相关性,与职业、高血压有相关性,与高血糖可能有关,与脑损害的部位呈明显相关性。结论：病灶部位是影响急性脑卒中后认知功能障碍的主要因素,从事体力劳动者、神经功能缺损严重者合并高血压或糖尿病者,其认知功能障碍出现早且更严重。

Clinical analysis of 48 cases with cognitive impairment after stroke

Objective To evaluate the related clinical factors of cognitive impairment after stroke.Method Forty-eight cases were assessed by WAISRC,and were studied with head CT.Results Cognitive impairment was not markedly related to sex and culture degree,and was related to profession and hypertension,maybe related to hyperglycemia,then significantly related to focus location.Conclusion The location of damages is the mostly factor to cognitive impairment after stroke,others(manual labour,grievous injury of nerve function,hypertension,diabetes) are also important factors.