国家神经系统疾病临床医学研究中心数据管理与共享系统

发表杂志：Journal of Clinical Hypertension

发表类型: Original Contributions

影响因子(IF): 2.885

PMID: 35672957 Pubmed原文链接 全文下载

卒中后认知障碍随时间会有波动，研究发现缺血性卒中后认知障碍随时间会有改善，如再认功能可能会有改善。血管性病变如腔梗、微出血等发现与认知功能下降相关，阿尔茨海默病相关病变，如皮层萎缩、海马萎缩及APOE风险基因等也会加重认知障碍，那么卒中后认知功能改善者与非改善者是否存在影像学的差异呢，目前尚无研究证实

Table 1 MoCA Subtest Scores 　 　 Mean Raw Scores (SD) and Mean Percentage Scores MoCA subtest/max score 　 D14 Percentage Score M3 Percentage Score M12 Percentage Score Visuoexecutive/5 Naming/3 Attention/6 Language/3 Abstraction/2 Recalls/5 Orientation/6 Total/30 　 　 　 　 　 　 　 　 Table 2 Demographic and Clinical Characteristics of Reverters and Nonreverters (CNSR3-认知亚组影像用2D T1测过皮层厚度和体积，有相应数据， MoCA＜23分者，1年MoCA值改变≥2分为Reverters) Reverters Nonreverters Demographic characteristics Age, Sex (men) Baseline neurological function NIHSS=0 NIHSS=1 NIHSS=2 NIHSS=3 NIHSS＞3 Median NIHSS Affective symptoms, median (IQR) Day-14 GAD-7 Month-3 GAD-7 Month-12 GAD-7 Day-14 PHQ-9 Month-3 PHQ-9 Month-12 PHQ-9 Functional outcome, median (IQR) Baseline pre-mRS Day-14 mRS Month-3 mRS Month-12 mRS Cerebral infarction location Cortical,n(%) Deep, n(%) Corticlal and Deep, n(%) Infratentorial, n(%) Total brain volume(mm3) Intracranial volume(mm3) Total WM volume(mm3) Total GM volume(mm3) Total CSF volume(mm3) Total hippocampus volume(mm3) Cortex thickness volume(mm2) Lobar microbleeds yes/no (%) Deep microbleeds yes/no (%) Lacunars yes/no (%) Perivascular spaces yes/no (%) APOE 4 (%) WM =white matter; GM=grey matter; Table 3 Baseline and Month 12 MoCA Subtest Scores of Reverters and Nonreverters Reverters,Mean (SD) Reverters,Percentage Score Noreverters,Mean (SD) Noreverters, Percentage Score Baseline MoCA subtests Visuospatial Naming Attention Language Abstraction Recall Orientation Total Month-3 MoCA subtests Visuospatial Naming Attention Language Abstraction Recall Orientation Total Month-12 MoCA subtests Visuospatial Naming Attention Language Abstraction Recall Orientation Total