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目的探讨分析高血压患者的认知功能及相关影响因素。方法随机选取2015年3月~2016年3月在我院接受治疗的高血压患者100例为高血压组,同时选取体检的100例健康人为健康对照组。分析两组间简易精神状态检查量表(MMSE)、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分及短期记忆评分。结果高血压组患者的MMSE和短期视觉客体工作记忆评分低于健康对照组(P<0.01),SDS和SAS评分高于健康对照组(P<0.01),不同年龄组以及脑力、轻度体力与重度体力劳动患者之间的MMSE评分具统计学差异(P<0.01)。高血压程度与MMSE评分、短期视觉客体工作记忆评分成负相关(P<0.01)。结论高血压患者的认知功能降低,且伴有抑郁和焦虑不良心理,尤其是老年人与体力劳动者应警惕认知功能的减退,可开展脑力训练以减缓认知功能损伤。
Objective To investigate the cognitive function and related factors in hypertensive patients. Methods 100 cases of hypertensive patients treated in our hospital from March 2015 to March 2016 were selected as hypertension group and 100 healthy subjects were selected as healthy control group. The MMSE, SAS and SDS scores and short-term memory scores were analyzed. Results The scores of MMSE and short-term visual object working memory in hypertension group were lower than those of healthy control group (P <0.01), SDS and SAS scores were higher than those of healthy control group (P <0.01) The MMSE scores of patients with severe manual labor had statistical difference (P <0.01). Hypertension was negatively correlated with MMSE score and short-term visual work memory score (P <0.01). Conclusion The cognitive function of hypertensive patients is decreased, accompanied by depression and anxiety disorders, especially in the elderly and manual workers should be alert to cognitive decline, mental training can be carried out to reduce cognitive impairment.