CAJ | 학술논문

目的分析健康体检中无症状脑梗死患者认知功能的各种因素,进行针对性的健康教育及心理护理.方法选择我院2010年6月至2011年12月3 860名健康体检者中,共检出阳性者126例,本组患者为观察组,同时选择同期126名健康体检者作为对照组,采用蒙特利尔认知评估量表进行评测,对两组认知功能进行比较,并就认识功能障碍的多因素进行分析,对体检的阳性患者进行护理干预.结果观察组血压、血糖、血脂各指标均高于对照组,两组比较差异具有显著性,有统计学意义P ＜0.05.观察组在认知总分、注意力集中、视空间/执行功能、抽象思维等方面评分明显低于对照组,两组比较差异具有显著性,有统计学意义P＜0.05.结论无症状脑梗死患者存在认知功能障碍,主要表现在视觉空间/执行功能、注意力和集中、抽象思维及定向力方面.
목적 분석건강체검중무증상뇌경사환자인지공능적각충인소,진행침대성적건강교육급심리호리.방법 선택아원2010년6월지2011년12월3 860명건강체검자중,공검출양성자126례,본조환자위관찰조,동시선택동기126명건강체검자작위대조조,채용몽특리이인지평고량표진행평측,대량조인지공능진행비교,병취인식공능장애적다인소진행분석,대체검적양성환자진행호리간예.결과 관찰조혈압、혈당、혈지각지표균고우대조조,량조비교차이구유현저성,유통계학의의P ＜0.05.관찰조재인지총분、주의력집중、시공간/집행공능、추상사유등방면평분명현저우대조조,량조비교차이구유현저성,유통계학의의P＜0.05.결론 무증상뇌경사환자존재인지공능장애,주요표현재시각공간/집행공능、주의력화집중、추상사유급정향력방면.
Objective To analyze the influencing factors of cognitive dysfunction in asymptomatic patients with cerebral infarction.Targeted the health education and psychological care were done.Methods Among 3860 cases of healthy check-up from from June 2010 to December 2011,126 cases with positive results who were divided into observation group,another 126 healthy check up person were divided into control group.The Montreal cognitive assessment scale was used to assess the cognitive function.The patients with positive results were treated with nursing intervention.Results In the observation group blood pressure,blood sugar and blood fat were all higher than those in the control group,there was statistical significance P ＜ 0.05.Cognitive total score,concentration,depending on the space/executive function,abstract thought and so on in the observation group significantly lower than those in the control group,the difference was significantly (P ＜ 0.05).Conclusions Asymptomatic patients with cerebral infarction have cognitive dysfunction,mainly Visual space/executive function,attention and concentration,the abstract thinking and directional force.