首页|叶酸补充对老年脑梗死患者认知功能及预后水平的影响

叶酸补充对老年脑梗死患者认知功能及预后水平的影响

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目的:探究叶酸补充对老年脑梗死患者认知和疾病预后的影响。方法:选择2023年1-12月在宿州市第一人民医院治疗的老年脑梗死患者,共60例,包括观察组30例和对照组30例。对照组采取抗血小板等常规治疗,观察组在常规治疗的基础上口服叶酸片治疗,每次5 mg,1次/d,疗程4w。治疗前后分别测定血清同型半胱氨酸(Hcy)水平,采用简易认知功能量表(MMSE)评估两组患者的认知功能、卒中量表(NIHSS)评价患者的神经功能缺损情况、改良Rankin量表(mRS)用于评价患者的预后状况。结果:治疗后,观察组患者的血清Hcy水平为(13。17±2。20)µmol/L、MMSE评分为(25。76±1。21)分,观察组患者的NIHSS评分为(3。13±1。12)分、mRS评分为(1。37±0。31)分,与对照组相比,均显示出统计学差异(P<0。05)。结论:叶酸补充可以有效降低老年脑梗死患者的Hcy水平,改善认知功能和神经功能缺损情况及预后情况。
Effects of folic Acid Supplementation on Cognitive Function and Prognosis in Elderly Patients with Cerebral Infarction
[Objective]To investigate the effect of folic acid supplementation on cognitive function and prognosis in elderly patients with cerebral infarction.[Method]Totally 60 elderly patients with cerebral infarction were selected for treatment in Suzhou First People's Hospital from January 2023 to December 2023,including 30 cases in the observation group and 30 cases in the control group.The control group was treated with antiplatelet and other conventional treatments for 4 weeks,and the observation group was treated with folic acid tablets,5 mg each time once a day for 4 weeks.Serum homocysteine(Hcy)levels were measured before and after treatment,the cognitive function of the two groups was assessed by Mini-Mental State Examination(MMSE),the neurological impairment of the patients was evalu-ated by the NIH Stroke Scale(NIHSS),and the prognosis of the patients was evaluated by the modified Rankin scale(mRS).[Result]After treatment,the serum Hcy level and MMSE score of the observation group were(13.17±2.20)µmol/L and(25.76±1.21)points,and the NIHSS score of the observation group was(3.13±1.12)and the mRS score was(1.37±0.31),which showed a statistical differ-ence between the observation group and the control group(P<0.05).[Conclusion]Folic acid supplementation can effectively lower the Hcy in old patients with cerebral infarction,and improve the cognitive function and neurological function deficits and prognosis.

folic acidcerebral infarctioncognitive functionprognosis

周满、张万龙、孙夫响

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宿州市第一人民医院药剂科,安徽宿州 234000

宿州市第一人民医院神经内科,安徽宿州 234000

叶酸 老年脑梗死 认知功能 预后

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(6)