老年急性脑梗死合并代谢综合征患者的认知损伤表现分析

Analysis of the cognitive impairment of elderly patients with acute cerebral infarction combined with metabolic syndrome

目的分析老年急性脑梗死合并代谢综合征(metabolic syndrome,MS)患者的认知损伤表现,为减少老年急性脑梗死患者的认知损伤提供方案。方法回顾性分析我院2008-02—2013-02收治的急性脑梗死患者153例,其中急性脑梗死合并代谢综合征77例为A组,急性脑梗死患者76例为B组,比较2组认知损伤程度。结果 B组蒙特利尔认知评估量表(MoCA)评分(24.65±4.62)明显高于A组的*18.58±5.59),差异有统计学意义(P<0.05)。主要差异体现在记忆能力、语言流畅性、注意力和计算力、定向能力、抽象思维能力方面。结论老年急性脑梗死合并代谢综合征患者的认知功能损伤较单纯急性脑梗死患者损伤严重,治疗中控制好血糖、血压及血脂、体质量等,有助于改善患者认知功能。

Objective To investigate the cognitive impairment of elderly patients with acute cerebral infarction combined with metabolic syndrome.Methods One hundred and fifty-three patients with acute cerebral infarction in our hospital from February 2008 to February 2013 were divided into the A group （77 cases of acute cerebral infarction combined with metabolic syndrome） and B group （76 cases of acute cerebral infarction）. The cognitive impairment of two groups was compared.Results The montreal cognitive assessment score of group B （24.65 ± 4.62） was higher than that of A group （18.58 ± 5.59） （P〈0.05）;the memory ,language fluency ,attention and computing power ,directional ability ,abstract thinking ability of group B were better than these of group A.Conclusion The cognitive impairment of elderly patient with acute cerebral infarction com-bined with metabolic syndrome is severer than that of patient with acute cerebral infarction.