CAJ | 학술논문

目的通过对原发数字减影脑血管造影(DSA)阴性蛛网膜下腔出血患者认知功能的评估,分析认知功能损害的相关因素及临床特点.方法选择DSA阴性蛛网膜下腔出血患者96例,根据病情进行Fisher,Hunt-Hess分级,以简易智能量表(mini-mental state examination,MMSE)进行认知功能评估,计算其发病率,统计分析认知功能损害程度与两种分级之间的相关关系.结果 96例DSA阴性蛛网膜下腔出血患者认知功能损害率51.04％；认知功能损害程度与Fisher,Hunt-Hess分级密切相关(P＜0.01).结论 DSA阴性蛛网膜下腔出血患者存在不同程度的认知功能损害,Fisher,Hunt-Hess分级越高认知功能损害越严重.
목적 통과대원발수자감영뇌혈관조영(DSA)음성주망막하강출혈환자인지공능적평고,분석인지공능손해적상관인소급림상특점.방법 선택DSA음성주망막하강출혈환자96례,근거병정진행Fisher,Hunt-Hess분급,이간역지능량표(mini-mental state examination,MMSE)진행인지공능평고,계산기발병솔,통계분석인지공능손해정도여량충분급지간적상관관계.결과 96례DSA음성주망막하강출혈환자인지공능손해솔51.04％；인지공능손해정도여Fisher,Hunt-Hess분급밀절상관(P＜0.01).결론 DSA음성주망막하강출혈환자존재불동정도적인지공능손해,Fisher,Hunt-Hess분급월고인지공능손해월엄중.
Objective To estimate the cognitive function of subarachnoid hemorrhage patients with negative digital subtraction angiography (DSA),and analyse its relevant factors and clinical characteristics.Methods 96 subarachnoid hemorrhage patients were selected,and the disease condition were classfied into different grades by Fisher scale,Hunt-Hess scale and the cognitive function were estimated by mini-mental state examination (MMSE),then calculated its incidence,analysed the relationship between the classification and cognitive impairments.Results The incidences of cognitive impairment in subarachnoid hemorrhage patients with negative DSA were 51.04％.Cognitive impairment was closely related to Hunt-Hess and Fisher grade (P＜ 0.01 ).Conclusion Subarachnoid hemorrhage patients with negative DSA exist different extent of cognitive impairment.The higher Hunt-Hess or Fisher grade,the more serious cognitive impairment.