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高血压与中年人记忆功能障碍的关系(1)
http://www.100md.com 2011年7月25日 崔永生 申明慧 于荣焕 田艳萍
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     [作者简介] 崔永生(1962-),男,河南开封人,河南大学硕士生导师,从事心血管临床研究。

    [摘要] 目的:探讨高血压对中年人记忆功能的影响。方法:采用临床记忆量表对200例原发性高血压患者(病例组)和100例健康体检者(对照组)进行记忆功能测定。结果:病例组记忆商(memory quotient,MQ)得分(81.45±12.70)分,对照组MQ得分(91.60±10.28)分,两组MQ得分比较差异有高度统计学意义(P<0.01);病例组中血压正常组指向记忆得分(13.69±4.69)分,联想学习得分(15.43±3.39)分,高血压组两项得分分别为(12.25±5.38)分和(14.14±4.73)分,差异有统计学意义(P<0.05)。结论:高血压可损害中年人的记忆功能,将血压控制正常水平可减轻这种损害。

    [关键词] 中年;高血压;记忆功能

    [中图分类号] R544.1[文献标识码]B [文章编号]1673-7210(2011)07(c)-124-02

    Relationship between hypertension and memory dysfunction in middle-aged people

    CUI Yongsheng1,2, SHEN Minghui1,2, YU Ronghuan1, TIAN Yanping1

    1.The First People's Hospital of Kaifeng City, He'nan Province, Kaifeng 475000, China; 2.Clinical Medical Key Laboratory, the First People's Hospital of Kaifeng City, He'nan Province, Kaifeng 475000, China

    [Abstract] Objective: To explore the impact of hypertension on memory in middle-aged people. Methods: Clinical memory scale was used to measure the memory of 200 cases of essential hypertension patients (case group) and 100 cases of health-examined individuals (control group). Results: The MQ scores of the case group were (81.45±12.70) scores, while the control group were (91.60±10.28) scores, the difference was significant (P<0.01); The scores of the directive memory and the associative learning of the normal blood pressure individuals were (13.69±4.69) scores and (15.43±3.39) scores, while the high blood pressure individuals were (12.25±5.38) scores and (14.14±4.73) scores, the difference was significant (P<0.01). Conclusion: Hypertension can damage the memory function in middle-aged people, which can be reduced when the blood pressure is controlled at the normal level.

    [Key words] Middle-age; Hypertension; Memory function

    既往研究表明,心血管病危险因素如高血压等可影响认知功能,无脑卒中的高血压患者有记忆和认知功能的减退[1-4]。但这些研究年龄范围不同,且多以老年人为研究对象,高血压患者在中年时期是否已经存在记忆功能障碍尚未见报道。本研究选择45~60岁的中年高血压患者和健康对照者进行记忆功能测定,旨在探讨高血压对中年人记忆功能的影响。

    1 资料与方法

    1.1 一般资料

    本次共调查300例研究对象。病例组为2008年3月~2010年10月在我院高血压科、心内科和神经内科已确诊的原发性高血压病患者200例,其中,男111例,女89例,平均(53.81±5.07)岁;对照组为在本院体检中心体检的健康者100例,其中,男50例,女50例,平均(54.12±4.90)岁。根据血压是否控制在正常水平将病例组分为血压正常组(94例)和高血压组(106例)两个亚组:血压正常组中,男51例,女43例;高血压组中,男60例,女46例。病例组和对照组在性别、年龄、文化程度、受教育年限、Zung分值、空腹血糖、血脂上比较,差异均无统计学意义(P>0 ......

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