脑卒中患者认知功能及影响因素的分析

Investigation of the Cognitive Function and Associated Factors in Patients with Stroke

目的:了解脑卒中患者出院时认知功能状况及其影响因素,为患者开展连续性的脑卒中康复提供依据。方法:对100例神经内科出院的脑卒中患者,采用简易智能精神状态检查量表(MMSE)、日常生活能力量表(ADL)、抑郁自评量表(SDS)进行测查。结果:脑卒中患者出院时认知功能障碍者为32例(32%);单因素分析显示,年龄、婚姻状况、吸烟、日常生活能力、抑郁水平与患者认知功能有关(P<0.01);Logistic多因素分析显示,日常生活能力是认知障碍的危险因素(P<0.01)。结论:脑卒中出院患者的认知功能状况应引起医务人员的高度重视,出院后在社区特别加强日常生活能力训练,有助于患者认知康复,提高患者生活质量。

Objective：To investigate prevalence of cognitive function and its correlates in patients with stroke at discharge,Methods： 100 patients with stroke were selected, at discharge from department of neurology and examined with tests included Mini-Mental State Exami nation（MMSE）,Activities of Daily Living scale （ADL）, Self-Rating Depression Scale （SDS）.Results：Prevalence of cognitive dysfunction in the sample was 32%; The univariate analysis showed that the status of cognitive function at discharge from stroke unit were correlaled significantly with factors, old age, divorced and （or） widowed, smoking （P（0.01 / ： The patients＇ ADL and SDS were associated with cognitive status（（P〈0.01） ;but in multivariate Logistic regrssion analysis, only patients＇ADL was shown to be the risk factor. Conclusion：Patients with stroke at discharge should be screened for cognitive function and it should be more attentive to these factors for the treatment and managemem of cognitive dysfuction.