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脑微出血与认知功能障碍的临床研究
引用本文:陈峰,薛建中,陆建明,尤年兴,石志革,丁庆国,陆耀军.脑微出血与认知功能障碍的临床研究[J].中国实用神经疾病杂志,2010,13(23).
作者姓名:陈峰  薛建中  陆建明  尤年兴  石志革  丁庆国  陆耀军
作者单位:扬州大学第五临床医学院神经内科,常熟,215500
基金项目:常熟市科技局资助课题项目
摘    要:目的 探讨脑微出血(CMBs)与血管性认知功能障碍之间的关系及CMBs引起血管性认知功能障碍的机制.方法 以头颅MR-GRE序列见微出血灶者为阳性病例组共47例,选取头颅GRE序列未见微出血灶患者47例符合入选及排除标准者作为对照组行神经心理评估.结果 CMBs阳性组的MoCA总分及执行功能、命名、计算、语言、抽象概括、回忆评分均明显低于对照组.各级CMBs组MoCA总分、执行功能、语言、抽象概括、记忆评分与0级组比较差异均有统计学意义(P<0.05),CMBs1、2、3级组语言及计算得分组间差异有统计学意义(P<0.05).CMBs数目与总分、执行功能、语言、抽象概括呈负相关.结论 CMBs存在与否及数目和患者认知功能损害密切相关,CMBs数目越多,认知功能损害越明显.

关 键 词:脑微出血  认知功能  蒙特利尔认知评估量表

Study on the relationship between the cerebral microbleeds and vascular cognitive impairment
Chen Feng,Xue Jianzhong,Lu Jianming,et al..Study on the relationship between the cerebral microbleeds and vascular cognitive impairment[J].Chinese Journal of Practical Neruous Diseases,2010,13(23).
Authors:Chen Feng  Xue Jianzhong  Lu Jianming  
Affiliation:Chen Feng,Xue Jianzhong,Lu Jianming,et al. Department of Neurology,the Fifth Clinical Medical College,Yangzhou University,Changshu 215500,China
Abstract:Objective To investigate the relationship between the cerebral microbleeds (CMBs) and vascular cognitive impairment,and mechanism that CMBs causes vascular cognitive impairment.Methods Forty-seven micro-hemorrhage patients on MR-GRE sequences composed positive group,and 47 patients selected without micro-hemorrhage in the GRE sequence and meet the selection and exclusion criteria as control group.Both two groups took assessment of MoCA scale inspection.Results MoCA total scores and executive functions,namin...
Keywords:Cerebral microbleeds  Cognitive function  MoCA(Montreal cognitive assessment scale)  
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