摘要
目的探讨农村脑卒中高危人群认知功能障碍的特征及相关危险因素。方法选取天津市北辰区小淀镇脑卒中高危人群且信息完整者497例,应用蒙特利尔认知评估量表对其认知功能进行评估,并分为认知正常组91例和认知障碍组406例,比较2组人口学基本情况、认知功能状况及相关因素的差异。结果与认知正常组比较,认知障碍组蒙特利尔认知评估量表总分[（19.78±4.15）分vs（26.95±1.05）分,P=0.000]及所有子项目得分明显降低,年龄≥60岁、高中以下文化、吸烟、饮酒和脑卒中史比例明显升高（P〈0.05,P〈0.01）。高中以下文化和既往脑卒中史是农村脑卒中高危人群认知功能障碍的独立危险因素（OR=3.843,95%CI：1.094-13.499,P=0.036;OR=2.646,95%CI：1.169-5.990,P=0.020）。结论农村脑卒中高危人群认知功能障碍发生率高,其认知功能各领域均受损。早期对该人群进行认知功能筛查,可以提高其认知功能障碍的诊断和治疗率。
Objective To study the characteristics and relevant risk factors of cognitive impairment in rural people at high risk of ischemic stroke.Methods Four hundred and ninety-seven Tianjin rural people at high risk of ischemic stroke were divided into normal cognitive function group（n =91） and cognitive impairment group（77 = 406）.Their cognitive function was assessed according to the MoCA scale and their demographic data,cognitive function and relavant risk factors were compared.Results The total MoCA score and each item score were significantly lower while the ratio of ≥60 years old people with a lower education level,a history of smoking,drinking and ischemic stroke was significantly higher in cognitive impairment group than in normal cognitive function group（P〈0.05,P〈0.01）.Low education level and ischemic stroke history were the independent risk factors for cognitive impairment in rural people at high risk of ischemic stroke（OR = 3.843,95%CI：1.094-13.499,P = 0.036;OR = 2.646,95%CI：1.169-5.990,P=0.020）.Conclusion The incidence of cognitive impairment is high in rural people at high risk of ischemic stroke.Early assessment of cognitive function in rural people at high risk of ischemic stroke can improve its diagnose and treatment.
出处
《中华老年心脑血管病杂志》
CAS
2015年第7期682-685,共4页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
天津市卫生行业重点攻关项目(12KG132)
天津市科技计划项目(13ZCZDSY01900)
关键词
卒中
认知障碍
危险因素
发病率
早期诊断
农村卫生
stroke
cognition disorders
risk factors
incidence
early diagnosis
rural health
