血管性痴呆精神行为学症状的危险因素探讨

Study on risk factors for mental behavioral symptoms of vascular dementia

目的研究血管性痴呆(VD)精神行为学症状的危险因素。方法选择本院2011年6月～2012年6月收治的118例血管性痴呆患者作为观察对象(观察组),选择同期收治的316例非痴呆患者为对照组,采用Logistic回归分析法对VD的相关临床因素进行调查分析。结果观察组中,文化程度、长期饮酒以及存在脑卒中等疾病病史的比例明显高于对照组。Logistic回归分析表明年龄、教育文化程度、既往脑卒中病史以及长期饮酒与VD密切相关,属于临床造成VD后行为异常的重要危险因素。结论年龄、文化程度、既往脑卒中病史是成VD的主要影响因素,脑卒中引发的精神行为学的异常是血管与脑卒中相互作用的结果。

Objective To study the risk factors for mental behavioral symptoms of vascular dementia.Methods 118 cases of vascular dementia patients from June 2011 to June 2011 were selected as observation group,316 cases of pa tients without dementia during the same period were selected as control group.The VD related clinical factors were investigated using logistic regression methods.Results In the observation group,the proportion of degree of education culture,long history of drinking and stroke diseases history were significantly higher than control group.Logistic re gression showed that age,education and cultural level,stroke history and long-standing drinking habits were closely associated with VD,all were the important risk factors of abnormal behavior after VD.Conclusion Age,education and cultural level,stroke history are the main influence factors of VD,cerebral apoplexy caused by mental behavior of ab normal blood vessels and cerebral apoplexy are the result of the interaction.