CAJ | 학술논문

目的：分析老年急性脑梗死合并代谢综合征（metabolic syndrome ，MS）患者的认知损伤表现，为减少老年急性脑梗死患者的认知损伤提供方案。方法回顾性分析我院2008-02-2013-02收治的急性脑梗死患者153例，其中急性脑梗死合并代谢综合征77例为A组，急性脑梗死患者76例为B组，比较2组认知损伤程度。结果 B组蒙特利尔认知评估量表（MoCA）评分（24.65±4.62）明显高于A组的倡18.58±5.59），差异有统计学意义（P＜0.05）。主要差异体现在记忆能力、语言流.性、注意力和计算力、定向能力、抽象思维能力方面。结论老年急性脑梗死合并代谢综合征患者的认知功能损伤较单纯急性脑梗死患者损伤严重，治疗中控制好血糖、血压及血脂、体质量等，有助于改善患者认知功能。
목적：분석노년급성뇌경사합병대사종합정（metabolic syndrome ，MS）환자적인지손상표현，위감소노년급성뇌경사환자적인지손상제공방안。방법회고성분석아원2008-02-2013-02수치적급성뇌경사환자153례，기중급성뇌경사합병대사종합정77례위A조，급성뇌경사환자76례위B조，비교2조인지손상정도。결과 B조몽특리이인지평고량표（MoCA）평분（24.65±4.62）명현고우A조적창18.58±5.59），차이유통계학의의（P＜0.05）。주요차이체현재기억능력、어언류.성、주의력화계산력、정향능력、추상사유능력방면。결론노년급성뇌경사합병대사종합정환자적인지공능손상교단순급성뇌경사환자손상엄중，치료중공제호혈당、혈압급혈지、체질량등，유조우개선환자인지공능。
Objective To investigate the cognitive impairment of elderly patients with acute cerebral infarction combined with metabolic syndrome.Methods One hundred and fifty-three patients with acute cerebral infarction in our hospital from February 2008 to February 2013 were divided into the A group (77 cases of acute cerebral infarction combined with metabolic syndrome) and B group (76 cases of acute cerebral infarction). The cognitive impairment of two groups was compared.Results The montreal cognitive assessment score of group B (24.65 ± 4.62) was higher than that of A group (18.58 ± 5.59) (P<0.05);the memory ,language fluency ,attention and computing power ,directional ability ,abstract thinking ability of group B were better than these of group A.Conclusion The cognitive impairment of elderly patient with acute cerebral infarction com-bined with metabolic syndrome is severer than that of patient with acute cerebral infarction.