The Influence Of Acute Period After Stroke Anxiety Depression And Vascular Cognitive Function

Objective:Explore the acute period after stroke anxiety depression influence on cognitivefunction in vascular cognitive impairment, and vascular cognitive impairment of anxietydepression,Through the investigation and analysis in patients with acute cerebral apoplexyclinical depression anxiety and cognitive function.Methods: During February2012to March2014,120patients after the onset of cerebralapoplexy in neurology department for3to5days, The Second Affiliated Hospital of ShanxiMedical University were selected.We recorded the age of the research object, such as name, thefixed number of year of the education generally Through self-designed questionnaire.The spiritof cognitive and emotional status of patients was evaluated by Minimum Mental StateExamination(MMSE), Hamilton depression scale (HAMD), Hamilton anxiety scale(HAMA).According to HAMA and HAMD scores (HAMD total score <8points for depression,8or more points for patients with depression;HAMA Total score <14points for no anxiety,14points or higher to have anxiety).According to MMSE score (28to30were divided into normalcognition and27) can be divided into cognitive dysfunction or less research object should bedivided into cognitive impairment and cognitive function in normal group, We compared on thethe incidence of depression and anxiety between two groups Respectively.Results:Age, sex, education of general information in the four groups had no significantlystatistical differences(P>0.05).The incidence of the acute phase of depression after apoplexy was35.8%, the incidence of anxiety by17.5%, the incidence of depression comorbid anxiety was9.2%.Through the simple MMSE scale assessment,Score in group A, the directional force (9.767±0.429), memory (3.651±0.973), calculation(3.953±1.174), Verbal ability to execute (6.256±1.364),Group B in the ratings, the directional force (9.714±0.561), memory (3.925±0.973),calculation(4.268±0.902), Verbal ability to execute(4.810±1.365);Score in group C, thedirectional force(9.727±0.647), memory (3.545±0.820), calculation(3.091±1.136), Verbalability to execute(5.273±1.555);Score in group D directional force(9.911±0.288), memory(5.089±0.701), calculation(4.378±0.777), Verbal ability to execute (6.800±1.375).Group Acompared group D with group A memory, calculate score was lower than those of group Drespectively, and the comparative difference was statistically significant (P <0.05), group Adirectional force, the score of verbal ability to execute was lower than those of group Drespectively, but there was no statistically significant difference compare between them(P>0.05).Group B compared with D, B group of memory, the score of verbal ability to executewas lower than those of group D respectively, the difference was statistically significant (P <0.05), group B, calculation of specific score was lower than those of group D, respectively, butthere was no statistically significant difference compare between them (P>0.05).Group C and D,group C, score of verbal ability to execute,calculate score was lower than those of group Drespectively, and the difference was statistically significant (P<0.05), the orientation of group C,the score was lower than those of group D respectively, but there was no statistically significantdifference compare between them (P>0.05).Cognitive impairment group, the incidence ofdepression greater than cognitively normal group, the overall incidence of depression, in contrast,the difference was statistically significant (P<0.05).The incidences of anxiety state to cognitiveimpairment than cognitively normal group, two groups of overall incidence of anxiety, there wasstatistically significant difference (P<0.05).Conclusion:This research shows that the incidence of acute period after stroke anxiety was35.8%, the incidence of anxiety by17.5%, the incidence of depression comorbid anxiety was9.2%.The influence of depression for patients with intelligence is mainly in terms of memory,calculation,The impact of anxiety for smart mainly in memory, verbal ability to execute,depression anxiety coexist two emotions influence on cognitive function in main memory andcomputing with words,Overall consideration to the effects of a directional function in patientswith anxiety depression.Patients with cognitive dysfunction group cognitive function in theprevalence of depression, anxiety is higher than the normal group.Cognitive function in acuteperiod after stroke depression state.Acute period after stroke anxiety depression and cognitiveimpairment is a common complication in patients with cerebrovascular disease and bothinfluence each other.