国产伦乱,一曲二曲欧美日韩,AV在线不卡免费在线不卡免费,搞91AV视频

Posterior cerebral artery Ischemic stroke Cognitive impairme

發(fā)布時(shí)間:2016-11-30 15:02

  本文關(guān)鍵詞:后循環(huán)缺血性卒中與認(rèn)知障礙相關(guān)性研究,由筆耕文化傳播整理發(fā)布。


后循環(huán)缺血性卒中與認(rèn)知障礙相關(guān)性研究

Correlation of Posterior Cerebral Artery Ischemic Stroke and Cognitive Impairment

[1] [2] [3] [4] [5] [6] [7] [8]

RUAN Jie;JI Ren-Jie;WEI Guo;ZHOU Qiong;SHEN He-Ping;MENG Fan-Xia;YUAN Huai-Wu;LUO Ben-Yan( Department of Neurology, Hangzhou Geriatric Hospital, Hangzhou 310022, China)

[1]杭州市老年病醫(yī)院神經(jīng)內(nèi)科,杭州510022; [2]浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院神經(jīng)內(nèi)科;,杭州510022; [3]寧波市第一醫(yī)院神經(jīng)內(nèi)科;,杭州510022; [4]嘉興市第二醫(yī)院神經(jīng)內(nèi)科,杭州510022;

文章摘要目的探究后循環(huán)缺血性卒中與認(rèn)知障礙發(fā)生的關(guān)系。方法連續(xù)選取2013年11月至2014年11月浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院及嘉興市第二醫(yī)院收治的急性后循環(huán)缺血性卒中患者67例,收集患者人口學(xué)、影像學(xué)及認(rèn)知功能評(píng)價(jià)資料,并通過(guò)磁共振成像統(tǒng)計(jì)梗死部位;通過(guò)簡(jiǎn)明精神狀態(tài)量表、阿爾茲海默病評(píng)定量表認(rèn)知分量表、臨床癡呆量表評(píng)估認(rèn)知功能;根據(jù)認(rèn)知診斷標(biāo)準(zhǔn)同時(shí)結(jié)合認(rèn)知功能評(píng)價(jià)結(jié)果,將患者分為認(rèn)知功能正常組、血管性輕度認(rèn)知障礙組、血管性癡呆組。結(jié)果 67例患者中,認(rèn)知功能正常32例(47.8%)、血管性輕度認(rèn)知障礙20例(29.9%),血管性癡呆15例(22.4%)。通過(guò)校正年齡、性別、漢密爾頓抑郁評(píng)分等因素后,多因素回歸分析顯示:顳枕葉缺血性卒中[比值比(odd ratio,OR)75.89,95%可信區(qū)間(confidence interval,CI)3.92~1 470.06)]增加認(rèn)知障礙發(fā)生風(fēng)險(xiǎn),腦橋缺血性卒中患者發(fā)生認(rèn)知障礙的風(fēng)險(xiǎn)比非腦橋缺血性卒中降低90%(OR 0.10,95%CI 0.02~0.60);進(jìn)一步分析顯示,顳枕葉缺血性卒中(OR 542.24,95%CI 7.85~37 481.44)增加輕度認(rèn)知障礙發(fā)生風(fēng)險(xiǎn);小腦缺血性卒中(OR 12.49,95%CI 1.03~151.58)增加血管性癡呆發(fā)生風(fēng)險(xiǎn)。結(jié)論 50%以上后循環(huán)缺血性卒中患者發(fā)生認(rèn)知障礙;其中顳枕葉及小腦缺血性卒中增加認(rèn)知障礙發(fā)生風(fēng)險(xiǎn),腦橋缺血性卒中與認(rèn)知障礙發(fā)生無(wú)顯著相關(guān)性。

AbstrObjective To investigate the relationship between posterior cerebral artery ischemic stroke and cognitive impairment.Methods Sixty-seven patients with acute posterior circulation ischemic stroke were continuously included from the first affiliated hospital of Zhejiang university and Jiaxing second hospital from November 2013 to November 2014. We collected demographic data, imaging data and evaluated cognitive function. Magnetic resonance imaging was used to calculate patients' infarction sections. Mini-Mental State Examination(MMSE), Alzheimer's Disease Assessment Scale-cognitive subscales(ADAS-cog), Clinical Dementia Rating scale(CDR) were used to evaluate cognition in post-stroke patients. According to cognitive impairment diagnosis standards, patients were divided into three groups: the normal cognitive function, the vascular mild cognitive impairment and the vascular dementia group.Results Among 67 enrolled patients, 32 patients had normal cognition(47.8%), 20 patients had mild cognitive impairment(29.9%), 15 patients had vascular dementia(22.4%). Accoding to adjusting the age,sex,scores of Hamilton Depression Rating Scale,multivariate logistic regression analysis showed that, the odds ratio(OR) of cognitive impairment in patients with occipitotemporallobe ischemic stroke increased(OR =75.89, 95%CI 3.92-1470.06),which in patients with pontine ischemic stroke reduced by 90%(OR =0.10, 95%CI 0.02-0.60); the further analysis shows that, the odds ratio of mild cognitive impairment in patients with occipitotemporal lobe ischemic stroke increased further(OR =542.24, 95%CI 7.85-37481.44); and the odds ratio of vascular dementia in patients with cerebellar ischemic stroke also increased(OR =12.49, 95%CI 1.03-151.58).Conclusion More than Fifty percents patie

文章關(guān)鍵詞:

Keyword::Posterior cerebral artery Ischemic stroke Cognitive impairment

課題項(xiàng)目:“十二五”國(guó)家科技支撐計(jì)劃(2011BAI08B02); 浙江省醫(yī)藥衛(wèi)生一般研究項(xiàng)目(2015KYB122)

作者信息:會(huì)員可見(jiàn)

 

 


  本文關(guān)鍵詞:后循環(huán)缺血性卒中與認(rèn)知障礙相關(guān)性研究,由筆耕文化傳播整理發(fā)布。



本文編號(hào):199503

資料下載
論文發(fā)表

本文鏈接:http://lk138.cn/yixuelunwen/jsb/199503.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶f08f5***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請(qǐng)E-mail郵箱bigeng88@qq.com
日本不卡V区| 啊啊啊国产一区二区| 日本黄色香蕉91网站| JapanAV 郑州一区| 国产白丝av动作片| 尤物精品黄色| 久久久精品亚洲蜜情园| 插插精品四区| 久a天v堂久| 色男人色男人| 中文幕AV一区二区三区四区 | 噜噜噜噜久久久久| 日本好吊视屏| 日韩AV伦理电影二区| 中文字幕一区第一页| 午夜欧美性电影| 男女艹鸡扒www.| 韩国午夜在线看片网址| 粉嫩AV一区二区三区在线看| 日韩熟伦| 中文人妻 二区| 天天爽天天插天天射| 成人福利在线亚洲| 麻豆精品永久中文字幕视频| 人人骑人人操人人爽| 性色av999| 久久久黄色网入口| madou精品一区二区| 一区二区夜晚| 免费成人久久| 莞式服务成人在线| 午夜日韩在线一区二区三区| 一二区区女女女女女女女女女| 成都熟妇| 色逼一区av| 不卡无欧美| 综合久久久久久88九九| 艹B国产视频| 日本一区二区久久久不卡| 中文字幕制服丝袜资源站| 激情久久久狠狠干|