摘要
目的探讨颅脑损伤后认知功能障碍的特点与损伤部位的关系。方法根据蒙特利尔认知评估量表(Mo CA)将106例颅脑损伤患者分为无认知功能障碍组(n=42)与认知功能障碍组(n=64),比较两组Mo CA各认知域评分,并分析认知功能障碍患者不同损伤部位与Mo CA各认知域评分的关系。结果认知功能障碍组除命名与定向力评分与无认知功能障碍组无明显差异外,其余如视空间与执行、语言、注意力、抽象能力、计算力及延迟记忆等评分均低于无认知功能障碍组,差异有高度统计学意义(P<0.01)。损伤部位在额叶、颞叶及基底节的颅脑损伤患者认知功能障碍相对严重,主要表现在视空间与执行、计算力及延迟记忆障碍,与枕叶、顶叶损伤患者比较差异有统计学意义(P<0.05)。结论额叶、颞叶及基底节损伤的患者一般认知功能障碍更为严重,临床应对这类患者引起足够的重视。
Objective To research the relationship between the characteristic of cognitive dysfunction after craniocere- bral trauma and the trauma position. Methods 106 cases with Craniocerebral trauma were divided into non-cognitive dysfunction group（n=42） and cognitive dysfunction group（n=64）aecording to the results of the MoCA,the MoCA＇s cognitive domain scores of two groups were compared,and the relationship between different trauma positions and MoCA＇s cognitive domain scores were analyzed. Results The scores of visual-spatial and executive function,language,atten- tion, abstract, calculation and delayed memory of the cognitive dysfunction group were less than those of the non-cog- nitive dysfunction group except naming and directional force, the difference was statistically significant （P〈0.01）. The cognitive dysfunction patients with trauma in temporal lobe ,frontal lobe and basal ganglia were more severe ,mainly displays in visual-spatial and executive function,calculation and delayed memory,and compared with the patients with occipital lobe,parietal lobe in terms of cognitive dysfunction,the difference was statistically significant （P〈0.05）. Con- clusion The patients with trauma in frontal lobe, basal ganglia and temporal lobe generally are more severe in terms of cognitive dysfunction, and it is necessary to pay more attention to such patients.
出处
《中国现代医生》
2016年第23期71-73,共3页
China Modern Doctor
关键词
颅脑损伤
认知功能障碍
特点
损伤部位
Craniocerebral trauma
Cognitive dysfunction
Characteristic
Trauma position
