《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (08): 611-612.

• 专题 • 上一篇    下一篇

脑卒中后认知障碍及相关因素分析

杨明明   

  1. 北京博爱医院心理科 北京市 100068
  • 收稿日期:2005-05-19 出版日期:2005-08-25 发布日期:2005-08-25

Analysis of factors related with cognitive impairment after stroke

YANG Ming-ming   

  1. The Department of Psychology, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-05-19 Published:2005-08-25 Online:2005-08-25

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摘要： 目的探讨脑卒中后认知功能障碍与各种因素之间的关系。方法对1997～2004年住院的脑卒中患者进行老年认知功能量表(SECF)、自评抑郁量表(SDS)、自评焦虑量表(SAS)和日常生活活动能力量表(ADL)检测,SECF≤90分为脑卒中后认知障碍,2个月后复查以上量表,分别以性别、年龄、受教育年限、病程、病因、偏瘫侧、SECF1、SECF3、ADL1、ADL3、SAS1、SAS3、SDS和SDS314个变量中的1个变量为因变量,其他13个变量为自变量进行多元逐步回归分析。结果脑卒中后认知障碍患者住院个月后SECF、ADL明显提高,SAS、SDS明显降低(P=0.000);年老患者中女性、脑梗死比例增高,ADL能力降低(P<0.05);入院前病程长者,抑郁分高,ADL可提高的幅度小(P<0.05);ADL高者焦虑情绪少(P=0.028)。结论早期入院康复治疗有助于提高脑卒中患者的日常生活能力,降低抑郁情绪。

关键词: 脑卒中, 认知功能, 抑郁, 焦虑, 日常生活活动

Abstract: ObjectiveTo explore the relationship between cognitive impairment after stroke and possible factors.MethodsThe stroke patients being in hospital from 1977 to 2004 were evaluated with (scale of elderly cognitive function, SECF), the self-rating depression scale (SDS), the self-rating anxiety scale (SAS) and the ability of daily living (ADL). 236 cases with SECF≤90 were considered as cognitive impairment and retested with 4 scales mentioned above 2 months later. Gradual regression analysis was applied, one factor was taken as dependent variable selected from sex, age, education, course of disease, etiological factor, hemiplegia side, SECF1, SECF3, ADL1, ADL3, SAS1, SAS3, SDS1, SDS3, while others were taken as independent variable.ResultsAfter two months treatment in hospital, scores of SECF and ADL of patients improved, SAS and SDS reduced significantly (P=0.000). The proportion of female and cerebral infarction in aged patients was higher and scores of ADL reduced significantly (P<0.05). The SDS scores of patients with long course of disease before hospitalization were higher; there was a small improved extent for ADL ( P<0.05). SAS scores of patients with high ADL were low (P=0.028).ConclusionEarly residential rehabilitation can improve ADL function and reduce depression of stroke patients.

Key words: stroke, cognitive function, depression, anxiety, activities of daily living (ADL)