腦中風患者認知功能障礙之探討

The Study on Cognitive Function in Stroke Patients

趙世彬(Shih-Pin Chao) ； 吳世福(Shich-Fu Wu)

《中華民國復健醫學會雜誌》 25卷1期 (1997/06) Pp. 81-90

摘要

本研究係蒐集自1996年元月至同年九月間因腦中風於台北市立忠孝醫院神經科或復健科住院之患者共65位，每位受試者皆於中風後三週內接受「簡短式智能評估」(MMSE)、患側肢體動作功能測驗及腦部電腦斷層掃描﹐另詳細記錄每位患者的教育程度、年齡、性別及既往中風病史。本文採取 MMSE 26/27分為臨界分數，研究得知57%腦中風患者有認知功能障礙，而老年腦中風患者則有63～73%有認知功能障礙(60歲以上為63%，65歲以上為73%)，此結果比社區隨機抽樣老年人有認知障礙者的比例高。本篇針對腦中風患者之影響MMS的分的重要因子進行分析，得知患者之腦實質萎縮、教育程度及年齡與MMSE得分有明顯統計學上相關性。

關鍵字

簡短式智能評估,腦中風

並列摘要

Mini-Mental State Examination (MMSE) is a simple and effective bed-side screening test for cognitive function. Cognitive defect is frequently encountered clinically in stroke patients, but several sophisticated cognitive function tests are not proper for them. MMSE is used as a tool to investigate the correlation between cognitive function and the severity of brain damage of the stroke patient. A total of 65 patients, who had developed hemiplegia, hemiparesis or cerebellar dysfunction as a result of cerebral vascular disease, were collected in this study. All patients had received MMSE, motor status examination of affected limbs, and brain CT within 3 weeks after stroke; in addition, the educational level, age, sex, and previous stroke history of these patients were recorded in detail.
The cutting point of MMSE was 26/27. 57% of these stroke patients and 63-73% of the elderly stroke patients were considered to have cognitive impairment in this study. The MMSE scores of the stroke patients were statistically significantly correlated with patients’ brain atrophy, educational level and age.

並列關鍵字

mini-mental state examination(MMSE),stroke