基于DSA评估下单侧前循环大血管闭塞对缺血性脑卒中患者认知的远期影响

Long-term Effects of Unilateral Anterior Circulation Vascular Occlusion on Cognitive Cognition in Patients with Ischemic Stroke Based on DSA

目的探讨单侧闭塞性脑血管大病灶对缺血性卒中患者远期认知功能的影响。方法采集2015年1月至2017年11月我科室收治的123例缺血性脑卒中患者为本次研究对象,经DSA筛选为单侧前循环大血管任意一处或多处闭塞病变患者共计63例进入试验组,配对基线资料,获得无单侧前循环大血管闭塞的60例患者进入对照组。随访12个月统计各种血管事件发生率、mRS评分、MMSE、MoCA评分评估远期认知功能的影响。结果试验组远期认知功能影响相关指标均与对照组存在显著性差异(P<0.05)。结论前循环COD可能导致轻度缺血性卒中患者远期认知功能下降,DSA评估系统筛选存在COD的患者并能够精准评估认知功能特点。

Objective To explore the effect of unilateral occlusive cerebrovascular lesions on long-term cognitive function of patients with ischemic stroke.Methods At the records of 123 patientswith ischemic stroke admitted in our department through DSA more than any of the large blood vessels in patients with a total of 63 cases into treatment group,matching the baseline data,obtained before the unilateral circulation vascular occlusion 60 patients in control group.The effects of mRS score,MMSE and MoCA score on long-term cognitive function were assessed in 12 months.Results The long-term cognitive function of the experimental group was significantly different from the control group(P<0.05).Conclusion The anterior circulating COD may lead to the decline of long-term cognitive function in patients with mild ischemic stroke,and the DSA evaluation system can screen the patients with COD and can accurately assess the cognitive function characteristics.