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陈长香, 王建辉, 马素慧, 王素娟, 郝习君. 高血压患者记忆功能障碍患病及影响因素分析[J]. 中国公共卫生, 2013, 29(4): 554-556. DOI: 10.11847/zgggws2013-29-04-30
引用本文: 陈长香, 王建辉, 马素慧, 王素娟, 郝习君. 高血压患者记忆功能障碍患病及影响因素分析[J]. 中国公共卫生, 2013, 29(4): 554-556. DOI: 10.11847/zgggws2013-29-04-30
CHEN Chang-xiang, WANG Jian-hui, MA Su-hui.et al, . Memory impairment in hypertension patiens:a case-control study[J]. Chinese Journal of Public Health, 2013, 29(4): 554-556. DOI: 10.11847/zgggws2013-29-04-30
Citation: CHEN Chang-xiang, WANG Jian-hui, MA Su-hui.et al, . Memory impairment in hypertension patiens:a case-control study[J]. Chinese Journal of Public Health, 2013, 29(4): 554-556. DOI: 10.11847/zgggws2013-29-04-30

高血压患者记忆功能障碍患病及影响因素分析

Memory impairment in hypertension patiens:a case-control study

  • 摘要: 目的 了解高血压患者记忆功能障碍患病情况及其影响因素,为血管性痴呆的早期发现及采取干预措施提供参考依据。方法 采用以医院为基础病例对照研究方法对2010年9—12月在河北省唐山市工人医院就诊的230例高血压患者和同期健康体检的240名非高血压健康人群进行问卷调查、血压测定和记忆功能测评。结果 病例组高血压患者的记忆功能障碍患病率为96.09%,高于对照组非高血压人群的69.17%,差异有统计学意义(χ2=152.37,P=0.000);病例组回忆姓名、回忆被藏物品、回忆预约时间、故事即刻回忆、故事延迟回忆、脸部再认、路线即刻回忆、路线延迟回忆、信件即刻回忆、信件延迟回忆、定向、日期和记忆标准总分分别为(1.93±1.60)、(3.28±0.94)、(1.16±0.82)、(2.25±1.73)、(1.78±1.56)、(4.46±0.93)、(10.55±1.43)、(10.32±2.03)、(2.59±0.64)、(2.56±0.66)、(8.00±1.14)、(0.82±0.38)和(14.81±3.82)分,均低于对照组的(3.83±0.40)、(3.69±0.65)、(1.39±0.66)、(7.24±4.13)、(5.26±2.12)、(4.88±0.33)、(11.00±0.00)、(10.92±0.40)、(4.79±1.33)、(3.00±0.00)、(8.83±0.37)、(1.00±0.00)和(19.72±2.87)分,差异均有统计学意义(P<0.01);病例组和对照组图片再认得分分别为(9.64±1.05)和(9.75±0.43)分,差异无统计学意义(P>0.05);年龄和收缩压越高,高血压患者的记忆功能障碍越重;受教育年限越长,高血压患者的记忆功能障碍越轻。结论 高血压患者的记忆障碍患病率高、程度重,且瞬时、短时、长时记忆功能均受损;年龄、收缩压和受教育年限是高血压患者记忆功能障碍的影响因素。

     

    Abstract: Objective To investigate the prevalence and risk factors of memory impairment in hypertension patients,and to provide evidence for early diagnosis and intervention of the disease.Methods Totally 230 hypertension patients were recruited from In-patient and Out-patient Departments in Tangshan Worker’s Hospital and 240 healthy people were matched to the cases from Out-patient Examination Department.Memory function was measured with Rivermead Behavioural Memory Test Second Edition(RBMT-Ⅱ,2003).χ2 test,t test,and multiple regression linear analysis were used in data analyses.Results The rate of abnormal memory function in the hypertension patients was 96.5% and 69.2% in the control group,with a significant difference between the two groups(χ2=152.370,P=0.000).There were significant differences in the total score of RBMT-Ⅱ(t=15.717,P=0.000),name recall(t=17.573,P=0.000),storing article recall(t=5.891,P=0.000),date and time recall(t=3.384,P=0.001),faces recall(t=6.346,P=0.000),immediate story recall(t=17.821,P=0.000),delayed story recall(t=20.360,P=0.000),immediate route recall(t=4.837,P=0.000),delayed route recall(t=4.406,P=0.000),immediate massage recall(t=23.115,P=0.000),delayed massage recall(t=9.843,P=0.000),date memory(t=7.045,P=0.000),and orientation memory(t=10.553,P=0.000) between the two groups.The age and the level of systolic blood pressure were independent risk factors of memory impairment in the hypertensives.Conclusion The hypertension patients has a higher morbidity of and more serious memory impairment than healthy people.The instantaneous memory,short-term memory and long-term memory of the hypertentsion patients are all impaired.The level of systolic blood pressure is an independent risk factor of memory impairment in the hypertensives.

     

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