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Analysis The Correlation Of Cognitive Impairment,NIHSS Score And Risk Factors After Mild And Moderate Stroke

Posted on:2021-03-12Degree:MasterType:Thesis
Country:ChinaCandidate:S P ChenFull Text:PDF
GTID:2404330623978649Subject:Neurology
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Objective: Stroke is the highest morbidity and disability disease for adults.The survivors of stoke were left limb paralysis,cognitive impairment and any other sequelae,which add the huge burden to society and family.Additional,cognitive impairment had become the topical research for global,because the body function,mental health and social work decreased.Thus,early detection and intervention is most important for cognitive impairment.Some research report that NIHSS score was able to assess the degree of cognitive impairment through nerve function defect after Stroke.This subject analysis the correlation among the occurrence of cognitive impairment,NIHSS score and risk factors of Stroke.We aimed to provide theoretical basis for clinical work.Methods: Collected the stroke patients from the department of neurology,Qinghai university affiliated hospital from November 2018 to May 2019.Patients were divided into post-stroke cognitive impairment(PSCI group)and post-stroke cognitive impairment no dementia(NPSCI group).After Carolina-row standard screening,we had 34 cases in PSCI group and 31 cases in NPSCI group.We collected age,gender,NIHSS score,MMSE score,Mo CA score,smoking,high blood pressure,diabetes,carotid atherosclerosis,Hcy,TCH,TG,HDL,LDL and other materials.The data were analyzed by SPSS19.0 statistical software.The normally distributed variable data were expressed as mean ± standard deviation((?)±s),which used the method of t test.The non-normally distributed variable data were expressed as the median and quartile spacing,which used the method of rank and inspection test.And the measurement data were analyzed by chi-square test.P < 0.05 indicated that had statistically significant.Results:(1)NIHSS score was 7(5,11)in PSCI group was statistically increased compared with 4(3,4)in NPSCI group(p<0.05).(2)The risk factors of stroke include: blood pressure,diabetes,smoking,carotid atherosclerosis,Hcy,TCH,TG,HDL and LDL.There was no significantly different compared with the risk factors of stroke between the group of PSCI and NPSCI(p > 0.05).However,the risk factors of stroke and NIHSS score had positively correlated by the correlation analysis.The more the risk factors of stroke number,the higher the risk of PSCI.Conclusion: There was correlation between the occurrence of PSCI and NIHSS score.There was correlation between the occurrence of PSCI and the number of stroke risk factors.
Keywords/Search Tags:Stroke, Cognitive impairment, NIHSS score, The risk factor of stroke
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