单侧开颅夹闭颅内多发动脉瘤对认知功能的影响

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1、授予单位代码10089学号或申请号20153274中国图书分类号R743.2硕士学位论文专业学位单侧开颅夹闭颅内多发动脉瘤对认知功能的影响研究生：杜海龙导师：吴建梁教授专业：外科学二级学院：河北医科大学第二医院2018年3月目录中文摘要·······································································································1英文摘要·······················································

2、················································2英文缩写·······································································································4研究论文单侧开颅夹闭颅内多发动脉瘤对认知功能的影响前言·································································································

3、······5材料与方法···························································································6结果·······································································································7附图·····································································

4、································10附表·····································································································12讨论·····································································································18结论···································

5、··································································21参考文献·····························································································21综述颅内多发动脉瘤破裂危险因素及治疗方法···································26致谢·······················································

6、······················································37个人简历·····································································································38中文摘要单侧开颅夹闭颅内多发动脉瘤对认知功能的影响摘要目的：研究单侧开颅夹闭颅内多发动脉瘤对患者认知功能的影响。方法：根据简易精神状态量表(MMSE)与蒙特利尔认知评估量表（MoCA）评分，分析多发动脉瘤患者、单发动脉瘤患者术前、术后（

7、出院前）、术后6个月MMSE与MoCA评分的差异。结果：1、多发动脉瘤组与单发动脉瘤组对比：（1）两组患者术前MMSE与MoCA评分分别比较差异不明显（P>0.05），无统计学意义；（2）两组患者术后（出院前）、术后6个月MMSE与MoCA评分及认知功能障碍发生率比较差异不明显（P>0.05），无统计学意义；2、多发动脉瘤患者自身对比：（1）术前与术后（出院前）MMSE与MoCA评分无明显差异（P>0.05），无统计学意义；（2）术后（出院前）与出院后6个月MMSE与MoCA评分对比差异明显（P<0.05），具有统计学意义。3、双侧多发动脉瘤与前交通动脉瘤

8、患者对比、单侧多发动脉瘤与单侧单发动脉瘤患者对比，术前、术后（出院