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目的了解基底节脑梗死和皮层脑梗死血管性认知功能损害特征。方法选择我院2012年3月~2014年9月收治的脑梗死患者70例,根据梗死类型将其分为基底节脑梗死组(34例)和皮层脑梗死组(36例);另择择同期来我院体检的24例健康体检者为对照组。均接受Mo CA(蒙特利尔认知评估量表)评估,对比各组的认知功能状态。结果基底节脑梗死组、皮层脑梗死组的Mo CA评分均明显低于对照组(P<0.05);皮层脑梗死组Mo CA评分明显高于基底节脑梗死组,且视空间/执行、注意力、抽象思维评分也均高于基底节脑梗死组(P<0.05)。结论基底节脑梗死与皮层脑梗死者均伴有较高的血管性认知功能损害率,多表现为注意力、执行能力、抽象思维能力损害,故需重视康复干预,以预防梗死后认知功能损害。
Objective To understand the characteristics of vascular cognitive impairment in basal ganglia infarction and cortex cerebral infarction. Methods Seventy patients with cerebral infarction admitted from March 2012 to September 2014 in our hospital were divided into basal ganglia infarction group (34 cases) and cortical cerebral infarction group (36 cases) according to the type of infarction. Over the same period to our hospital physical examination of 24 healthy people as the control group. All received MoCA (Montreal Cognitive Assessment Scale) assessment, comparing the cognitive function status of each group. Results The MoCA scores in basal ganglia infarction group and cortical infarction group were significantly lower than those in control group (P <0.05). The Mo CA score in cortical infarction group was significantly higher than that in basal ganglia infarction group Force and abstract thinking scores were also higher than those in basal ganglia infarction group (P <0.05). Conclusions Both basal ganglia infarction and cortical cerebral infarction are associated with high rates of vascular cognitive impairment, which are often manifested as impairment of attention, executive ability and abstract thinking. Therefore, rehabilitation intervention should be emphasized in order to prevent post-infarction cognition Functional impairment.