RÉSUMÉ
Objective To investigate the changes of cognitive impairment and its correlated factors in patients with first acute cerebral ischemic stroke.Methods Five hundred and sixty-eighty patients,admitted to our hospital from July 2010 to June 2011 and met the diagnostic criteria of first acute cerebral ischemic stroke,were chosen in our study; neuropsychological evaluation was conducted within 1 week of acute cerebral ischemic stroke.The comprehensive neuropsychological evaluation battery included mini-mental state examination (MMSE),Digit span,Mattis dementia scale,Rey complex figure test,stroop test,World Health Organization and University of California-Los Angeles auditory verbal learning test,semantic category verbal fluency test and clock drawing test,which contained tests for memory,attention,executive function,information processing capability,visuospatial and visuo constructive functions.Gender,age,histories of hypertension and smoking,and levels of blood pressure,random blood glucose,fasting blood glucose and 2-hour postprandial blood glucose,cholesterin,triglyceride,low density lipoprotein-C (LDL-C) and high density lipoprotein-C (HDL-C) were noted and the relations between cognitive function and both blood sugar and blood lipid levels were analyzed.Results (1) The abnormal rates of these patients in MMSE,Mattis dementia scale,attention deficit disorder,immediate logical memory disorder,delayed logical memory disorder,instant auditory memory disorder,delayed auditory memory disorder,visual memory disorder,executive function disorder,information processing disorder,and visuospatial and visuo constructive disorder were 78.2％,72.5％,26.5％,56.3％,60.9％,74.6％,98.2％,83.8％,62.7％,4.9％ and 77.7％,respectively.In patients with different blood glucose levels,significant differences were found on scores of MMSE,Mattis dementia scale,attention scale (P＜ 0.05); furthermore,the scores ofMMSE,Mattis dementia scale,attention scale in patients with impaired fasting glucose were obviously lower as compared with those in other groups (P＜0.05).The scale of above cognitive domains showed no significant difference in patients with different types of hyperlipidemias (P＞0.05); the scores of execution ability and visual space structure capability in patients with HDL-C were higher than those in normal density lipoprotein-C and LDL-C (P＜0.05),and the higher level of density lipoprotein-C,the higher scores of visual space structure capability (P＜0.05).Logistic regression analysis found that the total MMSE scores were associated with gender,age,and levels of fasting blood glucose and 2-hour postprandial blood glucose; the independent risk factors of executive function were gender,age and HDL-C level; the ability of memory was correlated with age and HDL-C level.Visuospatial and visuo constructive function was associated with gender,age and mRS scores; the information processing ability was only correlated with HDL-C level.Conclusion In patients with acute cerebral ischemic stroke,the cognitive impairment is extensive and severe,with a prevalence of about 75％,mainly having disorders in memory,executive ability,spatial structure; glucose levels,especially impaired fasting glucose level show most obvious influence in cognitive impairment;HDL-C level helps keep normal cognitive function; age,gender,HDL-C level are the most important factors of cognitive function.
RÉSUMÉ
Objective To explore the changes of cognitive ability and thyroid function and mRNA level of thyroid hormone receptor α1(TRα1)in the brain tissues of rats with nonthyroidal illness syndrome (NTIS). Methods Nineteen adull male SD rats were randomly divided into normal control (n=9)and NTIS(n=10)groups.The NTIS model,its liver been fiberized was induced by intraperitoneal injecting 0.15 mL carbon tetrachloride([CCL4],[1:6,diluted by com oil])3 times per week with duration of 8 weeks.The normal control group was injected equal sodium.Morris water-maze task was employed to test the cognitive memory ability of the rats;the concentrations of T_3,T_4, FT_3,FT_4,rT_3 and TSH in the blood serum and T_3,T_4 and rT_3 in the brain tissue were detected by using radioimmunoassay(RIA);the mRNA level of TRα1 was detected by fluorescent quantitative RT-PCR. Resuits Morris water-maze task showed no significant difference in congnitive ability between NTIS and control groups (P>0.05).The concentrations of T_4,FT_3,FT_4 and T_3 in blood serum in the NTIS group were significantly lower as compared with those in the normal control group(P<0.05).Concentrations of rT3,TSH in the blood serum,the concentrations of T_4,T_3,rT_3 and the mRNA level of TRα1 in the brain tissue had no significant differences between the two groups(P>0.05). Conclusion The rats with hepatic fibrosis showed typical NTIS.Thyroid function in central nervous system of these rats is normal, so is their cognitive ability.The mRNA level of TRα1 had no significant change in brain tissue of these rats.