[Observation of the cognition and the velocities of blood in the brain in cerebral arteriosclerosis and infarct patients].

航天医学与医学工程 Pub Date : 2005-06-01
Zong-jun Guo, Mo-wei Shen, Li-ying Jin
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Abstract

Objective: To observe the change of the cognition and the supply of blood in brain in healthy people and patients with arteriosclerosis (AS) and cerebral infarct.

Method: 1) control group: healthy people, 30 cases. 2) AS group: 22 cases with cerebral arteriosclerosis. Cerebrovascular infarct patients were divided into two groups. 3) 2W group: 21 cases, the patients' course of disease was shorter than two weeks. 4) 6M group: 20 cases, the patients' course of disease was from six months to four years. All cases were checked with cognitive P300 and transcranial doppler ultrasound (TCD) and mini-mental status examination (MMSE).

Result: The result revealed that the P300 incubation period in 2W group, 6M group and the AS group was remarkable extend than the control group (P<0.01), meanwhile the period of the 6M group was longer than the AS group (P<0.05); the amplitude of the wave of the 2W group and 6M group were shorter than the control group (P<0.05; 0.05). The velocities of bilateral MCA and right ACA were remarkable improved in AS group (P<0.05; 0.01), and the velocities of left MCA both in 2W and 6M group, the right ACA and BA in 6M group were remarkably decreased than the control group (P<0.05; 0.01). The grades of MMSE in all patients were lower than the control group and the grades in 6M group was lower than the AS group.

Conclusion: There are some changes in the P300 and abnormality of brain blood supply in the cerebral infarct patients and AS patients. The longer the course, the more serious of the cognition with the patients.

脑动脉硬化及梗死患者认知功能及脑血流速度的观察
目的:观察健康人与动脉硬化合并脑梗死患者认知及脑血供的变化。方法:1)对照组:健康人群30例。2) AS组:脑动脉硬化22例。脑血管梗死患者分为两组。3) 2W组21例,病程短于2周。4) 6M组:20例,病程6个月~ 4年。所有病例均进行认知P300、经颅多普勒超声(TCD)和迷你精神状态检查(MMSE)。结果:结果显示2W组、6M组和AS组P300潜伏期明显延长(p结论:脑梗死患者和AS患者P300有一定变化,脑血供异常。病程越长,患者认知越严重。
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