Relationship between Cardiovascular Health Behavior and Health Factor and Executive Function in Newly Acute Cerebral Infarction Patients / 中国康复理论与实践

ABSTRACT

@#Objective To explore the relationship between the cardiovascular health behavior and health factor and the executive function in newly acute cerebral infarction patients. Methods Wisconsin Card Sorting Test (WCST) and Clock Drawing Task (CDT) were used to evaluate the executive function of 1440 patients with newly acute cerebral infarction, with 240 cases in each subgroup respectively in 0-1,2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor. The impact of ideal cardiovascular health behaviors and factors on the executive function was analyzed combined with the general clinical data. Results The incurrence rates of executive function impairment in cerebral infarction patient with 0-1, 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor were 90.8%,85%, 66.7%, 42.5%, 20.8%, 13.4% respectively; compared with the patients with 0-1 of cardiovascular health behavior and health factors,the scores of WCST significantly changed in the patients with 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factor (P<0.05).There was no significant difference in gender and infarction location among 6 groups (P>0.05), but was in age, ducation degree,infarction size and complications (P<0.05). After adjusting the age, infarction size, infarction location and complications, multivariate logistic regression analysis showed that compared with the patients with 0-1 of cardiovascular health behavior and health factors, 2, 3, 4, 5, 6 component ideal cardiovascular health behavior and health factors were protective factors for the executive dysfunction of cerebral infarction patients, the OR were 0.686, 0.564, 0.369, 0.232, 0.116 respectively. Conclusion The cardiovascular health behavior and health factor protect the executive function in new acute cerebral infarction.