Clinical Study On The Cognitive Dysfunction After Stroke

Objective:Every year the number of stroke patients is about 2 million and cognitive dysfunction in patients with acute stroke are the most common manifestations.The impact of cognitive decline in patients with not only the ability to adapt to everyday life and society and the impact of a comprehensive stroke rehabilitation,treatment and secondary prevention after cerebral infarction.This study aimed at the characteristics of cognitive decline and its related factors,as well as to study the characteristics of syndromes for early diagnosis,prevention and provide a basis for clinical treatment.Methods:50 cases of non-demented patients with new cerebral infarction are assessed with mini-mental state examination(MMSE) and Montreal Cognitive Assessment Scale(Beijing edition),DS Scale at 14 days,1 month,3 month of onset to assess cognitive function in a regular basis,at the same time using the Ranking Scale,I ADL Scale, BI Scale,NIHSS Scale,as well as other areas to assess and improve the relevant examinations,including cranial magnetic resonance imaging(MRI)examination,collection of Chinese medicine for some time points four patient information and blood pressure,blood glucose, blood lipids,such as testing and related medical data analysis.Scale MoCA connection sub-turn test,depending on space experiments,a combination of draw bell test is the best analytical methods,the incidence of 3 month pilot to connect the turn point in time＜1 point, depending on the space test＜1 point,draw bell test＜3 points combining recommend MoCA scores(reduced value of＜26 points)as a post-stroke cognitive decline of the evaluation criteria,which attributed to post-stroke patients with cognitive decline group,and the rest belong to non-cognitive function after stroke reduced group.Results:①After 3 months,MMSE Scale and MoCA Scale,DS Scale score increased gradually.Spatial orientation when the MMSE scale,and calculating the force,MoCA named scale,computing power,memory delay,express recovery orientation,writing,painting,capacity,the connection test,depending on space experiments,draw bell test, abstract,and duplicate language ability reduced defects come back to the number of high-level slowly;②Cognitive decline after stroke group with bilateral,multiple lesions,the cortex,basal ganglia, lateral expansion of infarction was significantly higher than the proportion of patients without cognitive decline groups,the cognitive decline group average age was significantly higher than the non-cognitive decline group;post-stroke cognitive decline group′drinking,meatting anopheles rate is much lower than that of non-cognitive decline group.Group cognitive decline of people Yangxu constitution was significantly higher than normal cognitive function.③In Cognitive decline group,Tan,yin deficiency′mean score is higher than the non-cognitive decline group at 1 month,3 month,and there is significant difference between the differences.In Cognitive decline group qi deficiency′mean scores at 14 days,1 month,3 month were higher than normal cognitive function group,and there is significant difference between the differences.Conclusion:①There is a certain degree of cerebral infarction in patients with early cognitive impairment to writing and painting capacity,the connection test,depending on space experiments,draw bell test,abstract,and language impaired to duplicate and this is the main features of cognitive dysfunction;In March prior to the onset,improvement is in the overall trend;②NMR study prompted the head(MRI)examination of bilateral,multiple lesions,the cortex, basal ganglia,lateral expansion of,age,alcohol,meat Anopheles, yangxu constitution may be related to cognitive function.③Tan,Qi deficiency,Yin deficiency are the major syndromes of post-stroke cognitive decline.