13例以急性认知功能障碍为主要症状的急性脑血管病临床分析

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英文篇名：Clinical Analysis of 13 Cases of Acute Cerebrovascular Disease with Acute Cognitive Impairment as the Main Symptom 作者：蔡震文 ; 陈益鹏 ; 吴奕真 英文作者：CAI Zhen-wen;CHEN Yi-peng;WU Yi-zhen;Department of Neurology,the Affiliated People's Hospital of Quanzhou Medical College; 关键词：急性认知功能障碍 ; 主要症状 ; 急性脑血管病 ; 临床特点 英文关键词：Acute cognitive dysfunction;;Main symptoms;;Acute cerebrovascular disease;;Clinical features 中文刊名：JLYX 英文刊名：Jilin Medical Journal 机构：福建泉州医高专附属人民医院神经内科; 出版日期：2018-10-15 出版单位：吉林医学 年：2018 期：v.39 语种：中文; 页：JLYX201810063 页数：3 CN：10 ISSN：22-1115/R 分类号：148-150

摘要

目的:探讨以急性认知功能障为主要发病症状的急性脑血管病临床特点和治疗效果。方法:对13例以急性认知功能障为主要发病症状的急性脑血管病患者临床资料进行回顾性分析。结果:13例患者约占同期急性脑血管病患者的1. 5%。其中既往脑卒中病史6例,高血压病史10例,糖尿病史6例,同时有高血压和糖尿病史6例,伴有冠状动脉粥样硬化性心脏病4例,长期吸烟者8例(平均40年以上)。13例急性脑血管病中缺血性10例,出血性3例。其中额叶病变3例,颞叶2例、顶叶和枕叶皮层下4例,共9例(69. 23%);另外颅内多发腔隙性梗死4例(30. 74%)。所有患者均预后良好,完全恢复9例,好转4例,无死亡病例。结论:以急性认知功能障碍为主要症状的急性脑血管病,发生率低,其发生与高血压病、糖尿病、血脂异常等有关。如果临床上能够早期识别和早期干预,其预后良好。
        Objective To investigate the clinical features and therapeutic effects of acute cerebrovascular disease with acute cognitive impairment as the main symptom. Method The clinical data of 13 patients with acute cerebrovascular disease with acute cognitive impairment as the main symptom were retrospectively analyzed. Results The 13 patients in this group accounted for about 1. 5% of the patients with acute cerebrovascular disease. History of previous stroke 6 cases,10 cases of hypertension,diabetes,history of 6 cases,at the same time has a history of high blood pressure and diabetes,6 cases with coronary atherosclerotic heart disease in 4 cases,8 cases of long-term smokers( an average of 40 years). Ischemic 10 cases,hemorrhagic 3 cases. There were 3 cases of frontal lobes,2 cases of temporal lobe,4 cases in the parietal lobe and occipital cortex,9 cases( 69. 23%),and 4 cases( 30. 74%) of intracranial interlacing infarction. All patients had a good prognosis,complete recovery of 9 cases,and 4 cases with no deaths. Conclusion Acute cerebrovascular disease with acute cognitive impairment as the main symptom has a low incidence,which is associated with hypertension,diabetes and dyslipidemia. If the clinical early identification and early intervention,the prognosis is good.

引文

[1]蒋雨平.新编神经疾病学[M].上海:上海科学普及出版社,2014:10.
    [2]徐丽丽,王云甫.缺血性脑卒中患者继发轻度认知功能障碍与脑组织病变部位的关系影响[J].实用医学杂志,2016,32(7):1061.
    [3]刘晓亭,朱幼玲,席春华,等.岛叶功能的研究进展[J].中华神经科杂志,2017,50(2):157.
    [4]龚亮,李秀,汪凯,等.额叶和枕叶卒中的患者的内隐记忆损害特征[J].中华神经科杂志,2014,47(5):311.
    [5]张亚南,徐天舒.针刺对脑卒中后认知功能障碍相关机制研究进展[J].针灸临床杂志,2014,3(30):74.
    [6]王艳,李攀.急性缺血性卒中后认知功能障碍及其相关因素的横断面研究[J].中国现代神经疾病杂志,2013,13(4):282.
    [7]李丽,张馨.脑血管储备功能对伴大脑中动脉狭窄的轻度血管性痴呆患者预后的影响[J].中国老年医学杂志,2015,7(35):1731.
    [8]栾丽芹.急性脑梗死后认知功能障碍的相关危险因素[J].中国实用神经疾病杂志,2015,18(3):45.
    [9] Horstmann S R,Rizos T,Rauch G,et al. Atrial fibrillation And prestrock cognitive impairment in strock[J]. J Neurol,2014,261(3):546.