| Objective:to examine the influencing factors of postoperative cognitive function of anterior communicating artery aneurysm(ACom A).Methods:The cognitive function and prognosis of postoperative patients were evaluated by means of telephone interview for cognitive status-modified(TICS-m),instrumental daily living ability scale(IADL),.Univariate analysis and multifactorial logistics regression analysis were used to analyze the influencing factors of postoperative patients’ cognitive function and prognosis.Results:Follow-up evaluation of postoperative cognitive function and prognosis was completed in 67 patients.There was no significant difference in postoperative cognitive function between the endovascular embolization group and the microoccluder group(p>0.05).Univariate analysis showed that high Hunt-Hess grade was a risk factor for postoperative cognitive dysfunction(p < 0.05).High Hunt-Hess grade,high Fisher grade and advanced age were the risk factors affecting the prognosis of patients(p < 0.05);The degree of education was a risk factor for postoperative cognitive function and prognosis(p < 0.05).multifactorial logistics regression analysis showed that the degree of education was an independent factor affecting the postoperative cognitive function of patients.Conclusion:There was no significant difference in postoperative cognitive function between the endovascular embolization group and the microoccluder group.High hunt-hess classification was a risk factor affecting postoperative cognitive function.High hunt-hess grade,high Fisher grade and advanced age were prognostic risk factors.High level of education is a protective factor for postoperative cognitive function. |
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