脑梗死所致智能障碍的发生率及其影响因素分析

目的 探讨脑梗死所致智能障碍的发生率及其影响因素。方法 采用“长谷川痴呆量表(HDS)”对180例脑梗死患者进行评定(21．5分为评分界限),并将其分为两组,以自编调查表对每位患者的一般人口学资料及临床相关资料进行调查,并对照比较其结果,旨在分析智能损害与有关因素的关系。结果 本文脑梗死患者中,智能障碍的发生率为45．6％;性别、年龄、文化程度、卒中危险因素、高血压、糖尿病、脑梗死的数量、体积大小等与智能障碍的发生有关;女性患者、高龄、文化水平低、卒中危险因素多;脑梗死数量多、体积大均是梗死的智能障碍的危险因素。结论 脑梗死后智能损害的发生率较高,是多种因素综合作用的结果。

A study on the morbidity and the effect factors of intelligence impairment in cerebral infarction patients

Objective To study the morbidity and the effect factors of intelligence impairment in cerebral infarction patients. Methods 180 cases cerebral infarction patients identified by CT or MRI findings were tested by Hasegawa Dementia Scale and investigated by the self - regulating questionnaire, to collect the information as below; sex, age, education level, the risk factors of stroke, such hypertension, coronary heart disease as well, the quantity and bulk of cerebral infarction focus and analyse the connection between the intelligence impairment and the effect factors. Results The morbidity of intelligence impairment due to cerebral infarction is 45. 6% ,the intelligence impairment is associated with sex, age, education level,the risk factors of stroke,hypertension,coronary heart disease,the quantity and bulk of cerebral infarction focus. Conclusion The morbidity of intelligence impairment due to cerebral infarction is high.it is associated with manifold factors.