老年急性缺血性脑卒中首次发病后的认知功能

目的：探讨老年急性缺血性脑卒中患者首次发病后认知功能的改变。方法：首次发病的110例老年急性缺血性脑卒中患者与60例健康老年人做对照，用《老年认知功能量表》（SECF）检测认知功能，根据CT表现进行不同梗死部位的比较。结果：老年人首次发病急性缺血性脑卒中后，其认知功能即有明显的障碍，并与年龄、梗死部位有关。结论：老年急性缺血性脑卒中首次发病后即有明显的认知功能障碍，且直接影响病人的康复。因此，其治疗方案应兼顾躯体和智能两方面，且应坚持长期治疗，这样，有利于病人的康复。

The Cognitive Function in the Elders with First Acute Ischemic Stroke

Objective To investigate the change of cognitive function in the elders with first acute ischemic brain stroke.Methods The cognitive function was determined using senile cognitive function(SECF) scale in 110 senile patients with first ischemic brain stroke and 60 healthy elders.According to different sites of cerebral infarction identified by CT imaging,their cognitive functions were compared,respectively.Results The cognitive function obviously decayed in the elders after the first acute ischemic stroke and had the relation with age and site of the infarction.Conclusion The elders with first ischemic stroke have obvious disorder of cognitive function and could directly influence the recoveries of the patients.So,the therapy should include both somatic and cognitive function treatment.