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目的 探讨老年急性缺血性脑卒中患者首次发病后认知功能的改变。方法 首次发病的 110例老年急性缺血性脑卒中患者与 6 0例健康老年人做对照 ,用《老年认知功能量表》(SECF)检测认知功能 ,根据CT表现进行不同梗死部位的比较。结果 老年人首次发病急性缺血性脑卒中后 ,其认知功能即有明显的障碍 ,并与年龄、梗死部位有关。结论 老年急性缺血性脑卒中首次发病后即有明显的认知功能障碍 ,且直接影响病人的康复。因此 ,其治疗方案应兼顾躯体和智能两方面 ,且应坚持长期治疗 ,这样 ,有利于病人的康复。
Objective To investigate the changes of cognitive function after the first onset of senile acute ischemic stroke. Methods The first onset of 110 elderly patients with acute ischemic stroke were compared with 60 healthy elderly controls. The cognitive function was evaluated using the “Senile Cognitive Function Scale” (SECF), and the comparison of different infarct sites based on CT findings . The results of the first onset of acute ischemic stroke in the elderly, the cognitive function that is obvious obstacles, and with age, infarction related. Conclusion Elderly patients with acute ischemic stroke have significant cognitive dysfunction after their first onset, and have a direct impact on the patient’s recovery. Therefore, the treatment plan should take into account both physical and mental, and should adhere to long-term treatment, so that is conducive to the patient’s recovery.