急性脑梗死患者轻度认知功能障碍与脑电图异常的关系

The Relationship between Mild Cognitive Dysfunction in Acute Cerebral Infarction and Abnormal Electroencephalogram

目的探讨急性脑梗死轻度认知功能障碍(MCI)与脑电图异常的关系。方法选取广东省佛山市三水区人民医院2020年1~12月收治的急性脑梗死患者60例作为研究组,根据发病原因不同将研究组患者分成遗忘型MCI(MCI-A)组(32例)和血管型MCI(MCI-V)组(28例);另外选取同期在我院进行健康体检的正常人群60名作为对照组。所有受试者均进行脑电图检查,采用神经行为认知状况测试量表(NCSE)对患者的认知功能进行评定,并分析认知功能障碍和脑电图异常之间的关系。结果①与对照组比较,MCI-A注意力、语言重复、结构组织评分均较低,有明显差异(P<0.05),但两组定向力、语言理解、记忆力评分比较无明显差异(P>0.05);MCI-V组定向力、记忆力、注意力、语言理解评分、语言重复、结构组织评分均较低,有明显差异(P<0.05)。与MCI-A组比较,MCI-V组患者定向力、记忆力、注意力、语言理解评分、语言重复、结构组织评分更低(P<0.05)。②与MCI-A组比较,MCI-V组患者脑电图异常程度更重,有明显差异(P<0.05)。结论相比较于健康人群来说,急性脑梗死患者呈现出明显的认知障碍,且MCI-V组患者的情况更加严重,脑电图异常程度也更加严重。

Objective To observe the relationship between mild cognitive impairment(MCI)in acute cerebral infarction and abnormal EEG.Methods Sixty patients with acute cerebral infarction admitted to the People's Hospital of Sanshui District,Foshan City,Guangdong Province from January 2020 to December 2020 were selected as the study group.According to the cause of the disease,the study group was divided into amnestic MCI(MCI-A)group(32 cases)and vascular MCI(MCI-V)group(28 cases);in addition,60 normal people who underwent physical examination in our hospital during the same period were selected as the control group.All subjects underwent EEG examinations,the neurobehavioral cognitive status test scale(NCSE)was used to evaluate the cognitive function of the patients,and the relationship between cognitive dysfunction and abnormal EEG was analyzed.Results(1)Compared with the control group,the scores of MCI-A attention,language repetition,and structure organization were all lower,with significant differences(P<0.05),but there was no significant difference in orientation,language comprehension,and memory scores between the two groups(P>0.05);the scores of orientation,memory,attention,language comprehension,language repetition,and structure organization in the MCI-V group were all lower,with significant differences(P<0.05).Compared with the MCI-A group,patients in the MCI-V group had lower scores of orientation,memory,attention,language comprehension,language repetition,and structural organization(P<0.05).(2)Compared with the MCI-A group,the MCI-V group had more severe EEG abnormalities,with significant differences(P<0.05).Conclusion Compared with healthy people,patients with acute cerebral infarction show obvious cognitive impairment,and the condition of patients in the MCI-V group is more serious,and the degree of abnormality of EEG is also more serious.