基于RBANS的冠心病患者认知功能测定及影响因素分析

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Abstract Objective: To detect the feature of cognitive function among patients with coronary heart disease using the repeated neuropsychological test and to study potential factors influencing RBANS score. Methods: Thirty-eight patients with coronary heart disease, who were from Department of Cardiology, the First Affiliated Hospital of Wenzhou Medical University and the Second Affiliated Hospital of Wenzhou Medical University, and 32 normal subjects for comparison were both tested using RBANS, HAMA, HAMD, Type D scale-14 during March 2012 to October 2012. The degree of coronary atherosclerosis, grading of cardiac function named NYHA, echocardiography, biochemistry of blood were tested, too. Results: In RBANS test, the scores of patient group were lower than that of the control group in total scale of RBANS, immediate memory, visual span and delayed memory factor programs and the difference was statistically significant (P<0.05). The scores of anxiety, depression and type D personality in patient group were higher than that in the control group, the difference was statistically significant (P<0.05); In patient group, the stent number was negatively correlated with total score of RBANS test, the output of every stroke was negatively correlated with total score of RBANS test, immediate memory and visual span, the aortic root diameter was negatively correlated with immediate memory, the pulmonary artery pressure was positively correlated with attention, the heart rate was negatively correlated with attention. Conclusion: Patients with coronary heart disease may exist obvious cognitive dysfunction, which is mainly manifested in the immediate memory, visual span, delayed memory. The cognitive function of patients with coronary heart disease may be affected by patients’ emotion and personality, its cognitive dysfunction may exist certain relationships to stent number, output of each stroke, aortic root diameter, pulmonary artery pressure and heart rate.

Key words： coronary atherosclerosis cognition neuropsychological test repeatable battery for the assessment of neuropsychological status

Received: 06 July 2015

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	LIANG Yan
	LI Lifeng
	CHEN Jing
	HUANG Hanjin.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2016/V46/I2/118

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