Analysis in the risk factors of early vascular cognitive impairment after ischemic stroke
10.7619/jcmp.201715004
- VernacularTitle:脑卒中后早期血管性认知功能障碍发生的危险因素分析
- Author:
Dehua ZENG
1
Author Information
1. 海南省海口市人民医院 神经内科
- Keywords:
ischemic stroke;
vascular cognitive impairment;
related factors;
analysis
- From:
Journal of Clinical Medicine in Practice
2017;21(15):14-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and analyze the risk factors of early vascular cognitive impairment (VCI) after ischemic stroke (IS).Methods A total of 200 IS patients were selected.The patients were divided into the VCI group (n=84) and the non VCI group (n=116) according to whether complicated with VCI in the early period, and they were also divided into the stress hyperglycemia group (n=43) and the non stress hyperglycemia group (n=66) according to whether complicated with stress hyperglycemia in acute period.The age, the gender, the education level, the smoking history, the drinking history, the hypertension condition, the dyslipidemia condition, the diabetes condition, the coronary heart disease condition, the atrial fibrillation condition, the plasma homocysteine (Hcy) level, the serum high sensitive C reactive protein (hs-CRP) level and the National Institute of Health stroke scale (NIHSS) score of the all the patients were observed and analysis.Results There were significant differences in the gender, the education level, the smoking history, the drinking history, the hypertension condition, the dyslipidemia condition, the diabetes condition, the coronary heart disease condition, the atrial fibrillation condition, the plasma Hcy level, the serum hs-CRP level and the NIHSS score between the VCI group and the non VCI group (P<0.05).The NIHSS score and the incidence rate of VCI in the patients in the stress hyperglycemia group were significantly higher than those in the non stress hyperglycemia group, and the MoCA score was significantly lower than that in the non stress hyperglycemia group (P<0.05).Logistic regression analysis results showed the incidence of VCI in the early period of IS was correlated with diabetes, the hypertension, the plasma Hcy level and the serum hs-CRP level (P<0.05).Conclusion The incidence of VCI in the early period of IS is correlated with diabetes, the hypertension, the plasma Hcy level and the serum hs-CRP level.
