摘要
①目的探讨额叶和颞叶创伤性颅脑损伤患者执行功能的特点。②方法应用钟表绘画测验(CDT)和威斯康星卡片分类测验(WCST)方法对120例(住院后15天～1个月)颅脑损伤患者进行执行功能检测,以同期在该院进行体格检查的健康人104例为对照组,结合一般临床资料分析相关因素。③结果额叶、颞叶损伤组与正常组对比,CDT和WCST中完成分类数(CC)、持续性错误数(RPE)、概念化水平百分数(RFP)评分均低;WCST中的错误应答数(RE)、完成第一分类所需应答数(RF)、持续性应答数(RP)、非持续性错误数(NRPE)项评分均高(P<0.05);额叶与颞叶组对比,额叶损伤组中CDT和WCST中的CC得分低于颞叶组;WCST中的RE、RPE、RF、NRPE得分高于颞叶损伤组(P<0.05);右侧额叶组CC、RPE、RF得分低于左侧额叶组(P<0.05),有显著差异。④结论额叶和颞叶创伤性颅脑损伤患者存在执行功能障碍,且额叶损害重于颞叶损害,右侧额叶组较左侧额叶组对患者造成的损害更加严重。
Objective To explore the impairment of executive function in patients with traumatic brain injury in frontal lobe and temporal lobe. Methods 120 patients with traumatic brain injury who have been hospitalized after 15 to 30 days and and 104 health people in control group were tested of executive function by CDT and WCST. Results The scores on CC, RPE and RFP of WCST and CDT in frontal lobe and temporal lobe group were significantly lower than those in control group ,The scores on RE,RF, RP,NRPE of WCST in frontal lobe and temporal lobe group were significantly higher than those in control group（ P 〈 0.05 ） ; The scores on CC of WCST and CDT in frontal lobe group were significantly lower than those in temporal lobe group,The scores on RE, RF, [LP, NRPE of WCST in frontal lobe group were significantly higher than those in temporal lobe group （ P 〈 0.05 ） ;The scores on CC ,RPE,RF of WCST in right frontal lobe group were significantly lower than those in left frontal lobe group（ P 〈0.05）. Con- clusion There were executive dysfunction in patients with traumatic brain injury in frontal lobe and temporal lobe, and the impairment of frontal lobe may be more serious. The right frontal lobe group impairment is more serious than the left frontal lobe group.
出处
《河北联合大学学报（医学版）》
2012年第4期456-458,共3页
Journal of North China Coal Medical College
基金
河北省科技厅课题(编号:1027611D)
关键词
创伤性颅脑损伤
执行功能
认知
Traumatic brain injury. Executive function. Cognitive
