43例风痰阻络证中风患者认知障特点分析

Analysis of Cognitive Impairment Characteristics of 43 Cases of Stroke Patients with Wind Phlegm Blocking Collateral Syndrome

目的:探讨风痰阻络型中风患者的认知障碍特点。方法:选取我科收治的43例风痰阻络证中风患者为研究对象,分析MoCA总分与性别、年龄、文化程度、发病部位、发病原因、高血压、糖尿病、慢性心力衰竭之间的相关性,MoCA各因素对MoCA总分的影响。结果:MoCA总分与患者年龄的具有相关性,与性别、文化程度、发病部位、发病原因、高血压、糖尿病、慢性心力衰竭的不具有相关性;MoCA中延迟记忆、注意力、定向力、语言、抽象、执行功能、命名与MoCA总分均具有相关性。结论:风痰阻络证患者认知障碍仅受年龄影响,风痰阻络证患者认知障碍的延迟记忆、注意力、定向力、语言、抽象、执行功能及命名均有受损。

Objective: To explore the characteristics of cognitive impairment in patients with wind-sputum ob-structive stroke. Methods: A total of 43 stroke patients with wind-sputum obstruction were selected. The correlation between the total MoCA score and gender, age, education level, site of onset, patho-genesis, hypertension, diabetes, chronic heart failure were analyzed. The influence of MoCA factors on the tofal MoCA score were also analyzed. Results: The total MoCA score was correlated with the age of the patient, but not with gender, education level, site of onset, cause of onset, hypertension, diabetes, and chronic heart failure. In MoCA, delayed memory, attention, orientation, language, ab-straction, executive function, and naming were all correlated with the total MoCA score. Conclusion: Cognitive impairment in patients with wind-sputum obstructive stroke is only affected by age. De-layed memory, attention, orientation, language, abstraction, executive function and naming are all impaired in patients with wind-sputum obstruction.