摘要
目的:观察轻度脑损伤患者认知功能损害特征,寻求进行干预的可能性。方法:58例轻度脑损伤患者在出院前1周分别接受了中国成人韦氏智力测试量表(WAIS-RC)评估,并与正常人常模数据进行比较。结果:轻度脑损伤患者WAIS-RC智测成绩中,知识(18.0±4.7)分,算术(6.8±2.4)分,数字广度(9.1±2.8)分,数字符号(37.6±19.4)分,填图(9.9±1.6)分,木块图(30.1±13.5)分,图形排列(18.2±3.7)分,图形拼凑(19.4±4.9)分明显低于正常人常模(t=2.130～2.379,P均<0.05)。在按性别分组后,男性脑损伤患者的知识、算术、数字符号、填图、图形排列等分量表评分明显低于女性患者(t=1.976～2.257,P均<0.05)。在按脑损伤分型分组后,脑挫裂伤患者的算术、数字广度、填图和图形排列等分量表评分均明显低于脑震荡组(t=2.055～2.287,P均<0.05)。结论:轻度脑损伤患者常伴有明显的认知功能损害特征,后者又常与患者性别和临床分型密切相关。
AIM:To observe the features of cognitive disorder caused by mild craniocerebral injury so as to explore the possibility of intervention for patients.METHODS:Evaluation of Wechsler Adult Intelligence Scale-Revised in China(WAIS-RC) was conducted in 58 patients with mild craniocerebral injury 1 week before discharge and in normal controls for a data comparison.RESULTS:In the WAIS examination,the scores of information,arithmetic,digital span,digital symbol,completion of drawing,figure arrangement and figure assembly of patients with mild craniocerebral were 18.0±4.7,6.8±2.4,9.1±2.8,37.6±19.4,9.9±1.6,30.1±13.5,18.2±3.7 and 19.4±4.9 respectively,significantly lower than those of the normal controls(t=2.130-2.379,P< 0.05).According to sex grouping,male patients had lower scores in information,arithmetic,digital symbol,completion of drawing,block pattern,etc.as compared with female patients(t=1.976-2.257,P< 0.05). According to the types of brain injury,the scores of arithmetic,digital span,completion of drawing,figure arrangement,etc.were significantly lower in the patients with cerebral contusion than those with cerebral concussion(t=2.055-2.287,all P< 0.05).CONCLUSION:Mild craniocerebral injury patients have remarkable injured characteristics in cognitive function,which is closely related with patient's gender and clinical typing.
出处
《中国临床康复》
CSCD
2004年第7期1218-1219,共2页
Chinese Journal of Clinical Rehabilitation
