Objective To discuss the relationship between cognitive impairment in hyperhomocysteinemia and cerebral infarc -tion.Methods According to Mini-Metal Status Examination(MMSE) scale,a total of 80 patients with cerebral infarction were di-vided into dementia group(n=36) and non-dementia group(n=54),the level of homocysteine(Hcy) were detected.Results Compared with non-dementia group, Hcy level in the dementia group was higher (P<0.05),and Hcy level had no significant corre-lation with hypertension,diabetes,high blood lipid(P>0.05).Conclusion The increase of Hcy level can aggravate cognitive im-pairment of cerebral infarction patients , hyperhomocysteinemia may be risk factor of cerebral infarction cognitive impairment.%目的:探讨高同型半胱氨酸血症与脑梗死患者认知功能障碍的关系。方法将80例脑梗死患者按照简易精神状态量表( MMSE)认知功能不同分为痴呆组和非痴呆组。其中痴呆组36例,非痴呆组44例。对受试者检测其血同型半胱氨酸(Hcy)水平。结果与非痴呆组比较,痴呆组血Hcy水平明显增高(P<0.05),Hcy水平与高血压、高血脂、糖尿病等危险因素无明显关系( P>0.05)。结论血Hcy水平增高可以加重脑梗死患者认知功能障碍,高同型半胱氨酸血症可能是脑梗死认知功能障碍的危险因素。
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