《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (7): 667-670.

• 论文 • 上一篇    下一篇

理想心血管健康行为和健康因素与首发脑梗死患者执行功能的关系

赵雅宁，郭霞，窦娜，张盼，景丽伟，陈长香，李淑杏，李建民   

  1. 1.河北联合大学护理与康复学院，河北唐山市063000；2.河北联合大学附属医院，河北唐山市063000。
  • 收稿日期:2013-08-23 修回日期:2013-10-25 出版日期:2014-07-25 发布日期:2014-07-25
  • 通讯作者: 李建民

Relationship between Cardiovascular Health Behavior and Health Factor and Executive Function in Newly Acute Cerebral Infarction Patients

ZHAO Ya-ning, GUO Xia, DOU Na, et al.   

  1. Institute of Rehabilitation and Nursing College, Hebei United University, Tangshan, Hebei 063000, China
  • Received:2013-08-23 Revised:2013-10-25 Published:2014-07-25 Online:2014-07-25

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摘要： 目的探讨理想心血管健康行为和健康因素与首发脑梗死患者执行功能的关系。方法分别选择具有0~1、2、3、4、5、6 项理想心血管健康行为和健康因素的首发脑梗死患者各240 例，应用威斯康星卡片测验系统(WCST)和画钟试验(CDT)评测执行功能，结合一般临床资料分析理想心血管健康行为和健康因素与患者执行功能障碍发生的关系。结果具有0~1、2、3、4、5、6 个理想心血管健康行为和健康因素的脑梗死患者执行功能发生情况分别为90.8%、85%、66.7%、42.5%，20.8%、13.4%；与0~1 项组比，2、3、4、5、6 项组中WCST各项评分随心血管健康行为和健康因素的增加变化(P<0.05)；一般资料分析结果显示，6组患者在性别、梗死部位方面无显著性差异(P>0.05)，在年龄、受教育时间、并发症和梗死面积方面有显著性差异(P<0.05)；Logistic回归显示，矫正年龄、并发症、梗死面积、梗死部位等相关因素后，同具有0~1 项相比，2、3、4、5、6 项理想心血管健康行为和健康因素是脑梗死执行功能障碍发生的保护因素，OR值分别为0.686、0.564、0.369、0.232 和0.116。结论理想心血管健康行为和健康因素对首发脑梗死患者执行功能障碍的发生有保护作用。

关键词: 脑梗死, 心血管健康行为和健康因素, 执行功能

Abstract: Objective To explore the relationship between the cardiovascular health behavior and health factor and the executive function in newly acute cerebral infarction patients. Methods Wisconsin Card Sorting Test (WCST) and Clock Drawing Task (CDT) were used to evaluate the executive function of 1440 patients with newly acute cerebral infarction, with 240 cases in each subgroup respectively in 0-1,2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor. The impact of ideal cardiovascular health behaviors and factors on the executive function was analyzed combined with the general clinical data. Results The incurrence rates of executive function impairment in cerebral infarction patient with 0-1, 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor were 90.8%,85%, 66.7%, 42.5%, 20.8%, 13.4% respectively; compared with the patients with 0-1 of cardiovascular health behavior and health factors,the scores of WCST significantly changed in the patients with 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor (P<0.05).There was no significant difference in gender and infarction location among 6 groups (P>0.05), but was in age, ducation degree,infarction size and complications (P<0.05). After adjusting the age, infarction size, infarction location and complications, multivariate logistic regression analysis showed that compared with the patients with 0-1 of cardiovascular health behavior and health factors, 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factors were protective factors for the executive dysfunction of cerebral infarction patients, the OR were 0.686, 0.564, 0.369, 0.232, 0.116 respectively. Conclusion The cardiovascular health behavior and health factor protect the executive function in new acute cerebral infarction.

Key words: cerebral infarction, cardiovascular health behavior and factors, executive function