Nedoluha V O
Lik Sprava. 2012(7):156-8.
The aim was to study prevalence and peculiarity of cognitive impairments in patients with ischemic stroke. 76 patients with stroke were examined in early restorative period of disease. Neurologic status of the patients was examined with NIHSS scale, Renkin scale was employed for measuring the degree of disability, MMSE and FAB was used to estimate cognitive functions. 24-hour, non-invasive ambulatory blood pressure (BP) monitoring was used to reveal arterial hypertension and impairment of circadian rhythm of ABP. Considerable prevalence of cognitive impairments was shown. 34.2% patients suffered from dementia. The most impaired cognitive functions were memory, calculation, repetition and writing. Risk factors of cognitive impairments in patients with ischemic stroke were advanced age, severe neurological impairments, increasing SBP, minimal DBP. Examination cognitive function after stroke is necessary to plan treatment, prevention and reablement.
目的是研究缺血性中风患者认知障碍的患病率及特点。对76例处于疾病早期恢复阶段的中风患者进行了检查。采用美国国立卫生研究院卒中量表（NIHSS）检查患者的神经功能状态，运用兰金量表测量残疾程度，使用简易精神状态检查表（MMSE）和额叶评估量表（FAB）评估认知功能。采用24小时无创动态血压监测来揭示动脉高血压和动态血压昼夜节律受损情况。结果显示认知障碍患病率较高。34.2%的患者患有痴呆症。受损最严重的认知功能是记忆、计算、复述和书写。缺血性中风患者认知障碍的危险因素为高龄、严重神经功能障碍、收缩压升高、舒张压降低。中风后检查认知功能对于规划治疗、预防和康复是必要的。
