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目的分析研讨缺血性脑血管病合并脑微出血的相关因素及对认知功能的影响。方法此研究中所探讨的220例缺血性脑血管病患者,入选方式为随机抽签法,抽取范围为2014年6月-2016年4月期间,回顾分析其病历资料,按照是否合并为脑出血将其分两组,即110例脑微出血,110例非脑微出血,总结分析相关影响因素及对认知功能的影响。结果对比两组患者性别占比,组间数据无统计学意义(P>0.05);对比两组患者年龄、高血压、腔隙性脑梗死数目、脑白质疏松程度,组间数据有统计学意义(P<0.05)。对比两组患者语言、命名状况,组间数据无统计学意义(P>0.05);但延迟回忆、注意力、视空间/执行、MMSE总分、MOCA总分上,脑微出血比非脑微出血患者低,组间数据有统计学意义(P<0.05)。结论临床在诊治缺血性脑血管疾病时,需尽量预防其发生脑微出血状况,以免损害到患者认识功能,需及时有效地治疗高血压疾病,并进一步加强监护,降低疾病发生率。
Objective To analyze the related factors of ischemic cerebrovascular disease complicated with cerebral micro-hemorrhage and its influence on cognitive function. Methods The 220 patients with ischemic cerebrovascular disease discussed in this study were enrolled in randomized drawing method. The range of extraction was from June 2014 to April 2016. The data of medical records were reviewed and analyzed according to whether they were combined into cerebral hemorrhage Divided them into two groups, namely 110 cases of cerebral micro-hemorrhage and 110 cases of non-cerebral micro-hemorrhage, summarizes and analyzes the related factors and the impact on cognitive function. Results There was no significant difference between the two groups (P> 0.05). The age, hypertension, number of lacunar infarction and the degree of leukoaraiosis in both groups were statistically significant (P <0.05). Comparing the two groups of patients language, naming status, data between groups was not statistically significant (P> 0.05); but delayed memory, attention, visual space / performance, MMSE total score, MOCA total score, Bleeding patients were low, the data between the groups was statistically significant (P <0.05). Conclusion In clinical diagnosis and treatment of ischemic cerebrovascular disease, it is necessary to try to prevent the occurrence of cerebral micro-hemorrhage, so as not to impair the cognitive function of patients. It is necessary to timely and effectively treat hypertensive diseases and to further strengthen the guardianship and reduce the incidence of diseases.