Influence Factors of Vascular Cognitive Impairment in Acute Stage of First-episode Cerebral Infarction Patients
Objectives To explore the influencing factors of cognitive dysfunction in patients with first-episode cerebral infarction,and provide reference for early assessment and effective intervention.Methods To select 525 patients with the first-episode cerebral infarction in a hospital from February 2017 to December 2019 as research objects.They used Montreal Cognitive Evaluation Tables(MOCA)to evaluate their cognitive functions.Functional disorders(n=389)and non-recognition dysfunction group(n=136),observe the general information of the age,gender,and cultural level of comparison of the two groups of patients.Waiting for previous history.Using single-factor and multi-factor logistic Returning to return to analyze the influencing factors of acute cognitive dysfunction of patients with acute cerebral infarction.Results The incidence of acute period cognitive dysfunction in patients with first-episode cerebral infarction was 74.1％.The analysis results of the single factor showed that the number of age,gender,cultural level,the number of cerebral infarction parts,top lobe infarction,temporal lobe infarction,mound cerebral infarction,and triglyceride level in the cognitive dysfunction group and the non-recognition dysfunction group are comparative.Statistical significance.Binary multi-factor logistic regression results showed that age ≥55.0 years(OR=1.77,95％confident interval(CT):1.14-2.73,P=0.01),women(OR=2.24,95％CI:1.32-3.81,P=0.003),temporal lobe infarction(OR=4.21,95％CI:1.62-10.97,P=0.003)is the independent risk factors of the acute period of the first-episode cerebral infarction patient,and the college degree and above are recognized protection of functional disorders(OR=0.84,95％CI:0.75-0.94,P=0.003).Conclusions The incidence of acute vascular cognitive dysfunction was higher in patients with first-episode cerebral infarction.In clinical work,the risk factors of vascular cognitive dysfunction in patients with first-episode cerebral infarction should be identified in time,the cognitive function of patients with first-episode acute cerebral infarction should be routinely screened,and timely prevention and intervention should be given to improve and slow down the occurrence of cognitive dysfunction.
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