Abstract:Objective: To explore the clinical prognosis effect of multiple lacunar infarction, psychological status and quality of life in elderly patients. Methods: Through a retrospective study on 45 patients with multiple lacunar infarction in our hospital from June 2015 to June 2016 and 43 cases of elderly patients with non infarction symptoms during the same period, the clinical prognosis effect, psychological status and quality of life of the two groups were analyzed and compared. Results: After the treatment in the hospital, the efficiency rate and effective rate in the study group was significantly lower than those in the control group (P<0.05). The incidence of infection, depression, cognitive disorder and hemiplegia in the study group were significantly higher than those in the control group (P<0.05). The scores in somatization, interpersonal sensitivity, depression, anxiety of the patients in the study group were significantly higher than those in the control group (P<0.05). 3 months after the patients discharged from the hospital, the scores in physical function, role physical function, bodily pain, general health, vitality, social function, emotional role function and mental health in the study group were significantly lower than those in the control group (P<0.01). Conclusion: The effect in clinical prognosis of multiple lacunar infarction in elderly patients is poor, the mental health is seriously affected, the depression and anxiety is severer, the quality of life significantly reduces, therefore the clinical treatment and nursing care to the patients should be paid more attention.
基金资助:河北省科技成果项目,(编号:20143372)
引用本文:
李凡, 黄通瑞, 丁军. 多发性腔隙性梗死老年患者的临床预后效果心理状况和生活质量探索[J]. 河北医学, 2017, 23(2): 328-331.
LI Fan. Clinical Prognosis Effect of Multiple Lacunar Infarction, Psychological Status and Quality of Life in Elderly Patients. HeBei Med, 2017, 23(2): 328-331.
[1] 李德生,周秀丽,王芳,等.癫痫患者对自身疾病的认知情况及生活质量调查[J].中国实用神经疾病杂志,2014,17(5):39~40. [2] 袁正洲,马勋泰,王雪梅,等.长沙版蒙特利尔认知评估量表在腔隙性梗死后认知功能障碍筛查中的应用[J].第三军医大学学报,2012,34(19):2025~2027. [3] 高元杰,钟纯正.脑血管病患者认知功能障碍的相关因素[J].中国实用神经疾病杂志,2014,17(5):74~76. [4] White CL, Szychowski JM, Roldan A, et al. Clinical Features and Racial/Ethnic Differences among the 3020 Participants in the Secondary Prevention of Small Subcortical Strokes(SPS3) Trial[J].Stroke Cerebrovasc Dis, 2013,22(6):764~774. [5] 赵秀芹,赵冰,夏章勇,等.腔隙性梗死患者介入治疗术后认知功能变化[J].中华行为医学与脑科学杂志,2012,21(7):577~579. [6] 辛志强,牛平,朱瑜龄,等.急性脑血管病致偏身舞蹈~投掷症的临床特点[J].临床神经病学杂志,2012,25(1):20~22.