[中风后早期的心理认知障碍评估]
[Psychocognitive impairment evaluation in early post-stroke period].
作者信息
Naconecinîi D, Prodan Maria-Rodica, Leca-Radu Elena, Indrei Anca, Stefanache Felicia
机构信息
Clinica I Neurologie, Spitalul Clinic de Urgenţe Prof. dr. N. Oblu Iasi Facultatea de Medicină, Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi.
出版信息
Rev Med Chir Soc Med Nat Iasi. 2008 Oct-Dec;112(4):947-50.
UNLABELLED
There are many interconnections between pathological mechanism involved in production of dementia and cognitive impairment even in stroke patients. Early detection and management of these disorders provide better prevention of possible dementia.
AIM
To explore the factors which can affect psychocognitive impairment of poststroke patients.
METHOD
using the MMSE (mini-mental state examination), GDS (Geriatric Depression Scale), NIH (National Institute of Health) Stroke Scale we evaluated 47 consecutive patients with ischemic stroke, admitted in I Neurological Clinic of "N. Oblu" Hospital from Iassy.
RESULTS
Our patients had relative important cognitive impairment (11 individuals--MMSE < 20, but only 4 below 10) and important depression (GDS > 10 in 35 cases and > 20 in 7 cases). We found correlation between some risk factors and cognitive impairment / depression (hypertension, overweight, dyslipidemia, diabetes, arrhythmia, carotid system lesion).
CONCLUSION
Cerebrovascular disease can produce important cognitive and psychological impairment, which we can easily evaluate using some "bedside" tools MMSE, GDS.
未标注
即使在中风患者中，痴呆症产生的病理机制与认知障碍之间也存在许多相互联系。对这些疾病的早期检测和管理能更好地预防可能出现的痴呆症。
目的
探讨影响中风后患者心理认知障碍的因素。
方法
我们使用简易精神状态检查表（MMSE）、老年抑郁量表（GDS）、美国国立卫生研究院（NIH）中风量表，对雅西“N. Oblu”医院第一神经科收治的47例连续性缺血性中风患者进行了评估。
结果
我们的患者存在较为严重的认知障碍（11例患者——MMSE<20，但只有4例低于10）以及严重的抑郁（35例患者GDS>10，7例患者GDS>20）。我们发现一些危险因素与认知障碍/抑郁之间存在相关性（高血压、超重、血脂异常、糖尿病、心律失常、颈动脉系统病变）。
结论
脑血管疾病可导致严重的认知和心理障碍，我们可以使用一些“床边”工具MMSE、GDS轻松进行评估。
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