A Clinical Analysis Of Vascular Cognitive Impairment Secondary To Acute Cerebral Infarcion

Objective 1. To investigate the incidence of vascular cognitive impairment secondary to acute cerebral infarction.2. To compare the difference between MOCA and MMSE in screening for vascular cognitive impairment.Methods Neuropsychological tests were performed on 71 cases of cerebral infarction victims and 30 healthy patients assessed respectively by Mini-mental state examination (MMSE) and Montreal cognitive assessment (MOCA). Compare the efficiency of the two scales and investigate the incidence of vascular cognitive impairment secondary to acute cerebral infarction.Results Assessed by Mini-mental state examination(MMSE), comparison of the incidence of cognitive impairment in CI(Cognitive impairment) group and Control group produced no difference (P>0.05); The total MMSE scores in CI group were significantly lower than those in Control group (P<0.01); the total MMSE scores in CI-free group had no pronounced difference from those in Control group (P>0.05).Assessed by Mentreal cognitive assessment, the incidence of cognitive impairment in CI(Cognitive impairment) group was significantly higher than that in Control group(P<0.05); The total MOCA scores in CI group were significantly lower than those in Control group(P<0.01); the total MOCA scores in CI-free group had no pronounced difference from those in Control group (P>0.05). Either the MMSE scores or the MOCA scores in CI group were significantly lower than those in CI-free group (P＜0.01).Conclusion Acute cerebral infarction victims often suffered from cognitive impairment. Assessed by MOCA, the incidence of cognitive impairment in CI group was significantly higher than that in Control group; while, assessed by MMSE, comparison of the incidence of cognitive impairment in CI group and that in Control group produced no statistic difference; MOCA was better than MMSE in screening vascular cognitive impairment.