Cognitive changes after carotid endarterectomy.

Cognitive changes after carotid endarterectomy.
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颈动脉内膜切除术后的认知变化。

DOI:
10.4081/monaldi.2009.334
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发表时间:
2009
期刊:
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
影响因子:
--
通讯作者:
L. Pedrini
L. Pedrini
中科院分区:
--
文献类型:
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作者:
P. Gremigni;Laura Sciarroni;L. Pedrini

文献摘要

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本研究的目的是探讨颈动脉内膜切除术(CEA)后认知功能的变化。术前对74例无症状CEA患者的认知功能、抑郁、狭窄程度、脑CT结果和缺血性心脏病进行了测量。样本包括31名痴呆患者和43名无任何痴呆症状的患者。术后3个月,使用简单的标准化测试再次测量认知功能。在基线控制认知功能和抑郁后,CEA后3个月,痴呆和非痴呆患者的认知功能均显著改善。CEA不仅可以降低患者的卒中风险,而且与认知功能无关。
The aim of this study was to investigate changes in cognitive function following carotid endarterectomy (CEA). In 74 asymptomatic CEA patients cognitive function, depression, laterality and severity of stenosis, cerebral Computer Tomography results, and ischemic heart diseases were measured preoperatively. The sample included 31 patients with dementia and 43 patients without any symptom of dementia. Cognitive function was measured again at 3 months postoperatively using a brief standardised test. After controlling for cognitive function and depression at baseline, cognitive function improved significantly at 3 months after CEA in both patients with and without dementia. CEA may offer more than reduced stroke risk to patients, independent of cognitive function.