CAJ | 학술논문

目的：探讨脑梗死患者认知障碍与日常生活能力（ ADL ）的相关性。方法采用神经行为认知状态测试（NCSE）、Bethel 指数评分、斯堪的纳维亚脑卒中量表（SSS）结合患者基本情况，对四川省人民医院康复科44例脑梗死患者进行调查。结果发病3周认知障碍占38.63％。 ADL依赖率认知障碍组和认知正常组病后1个月分别为64.71％、7.41％（ P＜0.01）；病后3个月分别为52.94％和3.70％（ P＜0.01）。1个月及3个月随访认知状态：P ＝0.006、P ＝0.028， OR＝17.289、OR＝16.946；SSS 评分：P ＝0.007、P ＝0.019，OR＝0.892、OR＝0.812。结论脑梗死后认知障碍是ADL的独立负性影响因素，卒中史、SSS评分低对ADL有负性影响。脑梗死患者认知障碍发生率较高，且与ADL相关。
목적：탐토뇌경사환자인지장애여일상생활능력（ ADL ）적상관성。방법채용신경행위인지상태측시（NCSE）、Bethel 지수평분、사감적납유아뇌졸중량표（SSS）결합환자기본정황，대사천성인민의원강복과44례뇌경사환자진행조사。결과발병3주인지장애점38.63％。 ADL의뢰솔인지장애조화인지정상조병후1개월분별위64.71％、7.41％（ P＜0.01）；병후3개월분별위52.94％화3.70％（ P＜0.01）。1개월급3개월수방인지상태：P ＝0.006、P ＝0.028， OR＝17.289、OR＝16.946；SSS 평분：P ＝0.007、P ＝0.019，OR＝0.892、OR＝0.812。결론뇌경사후인지장애시ADL적독립부성영향인소，졸중사、SSS평분저대ADL유부성영향。뇌경사환자인지장애발생솔교고，차여ADL상관。
Objective To explore the relationship between cognitive impairment in patients with cerebral infarction and their activities of daily living ( ADL) .Methods Forty-four patients at the department of rehabilitation in our hospital were investigated by using NCSE,Bethel exponent and SSS .Statistical analysis was performed by using SPSS 14.0 software.Results The cognitive disorders accounted for 38.63%3 weeks after the disease .Compared to normal subjects ,the cognitive impairment and ADL dependency were 64.71%and 7.41%one month after the disease ,and 52.94%and 3.70%3 months after the disease ,respectively ( all P <0.01 ) . Cognitive status during 1-month and 3-month follow-up were P =0.006 and P =0.028 ,OR =17.289 and OR=16.946 ,respectively . The SSS scores during 1-month and 3-month follow-up were P =0.007 and P=0.019 ,OR =0.892 ,and OR =0.812 ,respectively . Conclusion Cognitive impairment after cerebral infarction is an independent negative influence factor of ADL .History of stroke and low SSS score has a negative effect on ADL .Patients with cerebral infraction has high incidence of cognitive disorder that is related with their ADL.