脑梗死后患者焦虑抑郁与认知功能障碍的关系

Influencing factors of emotion barrier and cognition barrier after cerebral infarction

目的探讨脑梗死后患者认知功能障碍与焦虑抑郁的关系，为促使其神经功能恢复提供科学依据。方法以某三级甲等医院在2014年2月～2015年3月收治的118例脑梗死患者为研究组，同期选取118例非脑梗死者为对照组。分别采用韦氏成人智力量表（WAIS）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）对患者进行认知功能测定、焦虑和抑郁测定。结果脑梗死组不同程度认知功能障碍组WAIS、HAMA和HAMD评分分别为：轻度（84．13±21．89）分、中度（80．20±20．41）分、重度（81．12±20．49）分、焦虑（11．89±1．68）分、抑郁（12．29±3．02）分；正常组分别为：轻度（102．25±16．24）分、中度（98．87±9．21）分、重度（101．39±13．11）分、焦虑（6．39±1．21）分、抑郁（6．38±1．01）分，两组比较差异均有统计学意义（P〈0．05）。结论脑卒中患者存在焦虑抑郁症状和认知功能障碍，二者可能相互影响相互作用。

Objective To investigate the relationship ketween cognitive dysfunction and emotional disorder after cerekral infarc=tion,and to provide scientific kasis for the recovery of neurological function. Methods 118 patients with cerekral infarction received in our hospital as okservation group,118 cases of normal control group. By Wechsler Adult Intelligence Scale( WAIS),Hamilton Anx=iety Scale( HAMA)and the Hamilton Depression Scale( HAMD)on the patients of cognitive function determination,determination of affective disorder,and the indicators of CT measurement. Results Cerekral infarction group cognitive impairment is the result of de=termination:mild(84. 13 ± 21. 89),moderate(80. 20 ± 20. 41)severe(81. 12 ± 20. 49)with profound,anxiety was(11. 89 ± 1. 68), depression(12. 29 ± 3. 02). Normal cognitive impairment group determination results:mild(102. 25 ± 16. 24),moderate(98. 87 ± 9.21),severe(101.39 ±13.11)with profound,anxiety is(6.39 ±1.21),depression(6.38 ±1.01);the differences were significant(P﹤0. 05). Conclusion There were emotional disorders and cognitive dysfunction in strode patients,which might affect the interaction.