脑梗死患者认知障碍与日常生活能力的相关性研究

The relationship of cognitive impairment and activities of daily living in patients with cerebral infarction

目的探讨脑梗死患者认知障碍与日常生活能力(ADL)的相关性。方法采用神经行为认知状态测试(NCSE)、Bethel指数评分、斯堪的纳维亚脑卒中量表(SSS)结合患者基本情况,对四川省人民医院康复科44例脑梗死患者进行调查。结果发病3周认知障碍占38.63%。ADL依赖率认知障碍组和认知正常组病后1个月分别为64.71%、7.41%(P<0.01);病后3个月分别为52.94%和3.70%(P<0.01)。1个月及3个月随访认知状态:P=0.006、P=0.028,OR=17.289、OR=16.946;SSS评分:P=0.007、P=0.019,OR=0.892、OR=0.812。结论脑梗死后认知障碍是ADL的独立负性影响因素,卒中史、SSS评分低对ADL有负性影响。脑梗死患者认知障碍发生率较高,且与ADL相关。

Objective To explore the relationship between cognitive impairment in patients with cerebral infarction and their activities of daily living （ ADL） .Methods Forty-four patients at the department of rehabilitation in our hospital were investigated by using NCSE,Bethel exponent and SSS .Statistical analysis was performed by using SPSS 14.0 software.Results The cognitive disorders accounted for 38.63%3 weeks after the disease .Compared to normal subjects ,the cognitive impairment and ADL dependency were 64.71%and 7.41%one month after the disease ,and 52.94%and 3.70%3 months after the disease ,respectively （ all P 〈0.01 ） . Cognitive status during 1-month and 3-month follow-up were P =0.006 and P =0.028 ,OR =17.289 and OR=16.946 ,respectively . The SSS scores during 1-month and 3-month follow-up were P =0.007 and P=0.019 ,OR =0.892 ,and OR =0.812 ,respectively . Conclusion Cognitive impairment after cerebral infarction is an independent negative influence factor of ADL .History of stroke and low SSS score has a negative effect on ADL .Patients with cerebral infraction has high incidence of cognitive disorder that is related with their ADL.