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目的观察中型颅脑外伤患者的认知功能状况,初步探讨影响认知功能相关因素。方法对37例中型颅脑外伤患者和20名健康对照者进行韦氏成人智力量表中国修订本(WAIS-RC)和记忆量表测定。结果中型颅脑外伤患者全表智商(full intelligence quotient,FIQ)、言语智商(verbal intelligence quotient,VIQ)、操作智商(perfor mance intelligence quotient,PIQ)及记忆商(memoryquotient,MQ)均明显低于健康对照者(P<0.01);年龄≥40岁PIQ影响无差异(P>0.05),MQ、VIQ、FIQ有显著差异(P<0.05);康复治疗与非康复治疗组对照有显著差异(P<0.05);外伤性癫痫与无癫痫发作组对照有显著差异(P<0.05);性别、是否开颅手术两因素无显著差异(P>0.05)。结论中型颅脑外伤患者存在认知功能障碍,年龄、外伤性癫痫、康复治疗是影响认知功能的相关因素,康复治疗和控制外伤性癫痫能改善认知功能。
Objective To observe the cognitive function of patients with mid-size craniocerebral trauma and to explore the influencing factors of cognitive function. Methods 37 cases of middle cerebral trauma patients and 20 healthy controls were measured by WAIS-RC and memory scale. Results The patients with moderate traumatic brain injury had significantly lower FIQ, VIQ, PIQ and MQ (all intelligence quotient, IQ) (P <0.01). There was no significant difference in PIQ between the age of 40 years (P> 0.05), MQ, VIQ and FIQ (P <0.05). There was significant difference between the control group and the non-rehabilitation group (P < 0.05). There was significant difference between the traumatic epilepsy group and the non-seizure group (P <0.05). There was no significant difference between the two groups in gender and craniotomy (P> 0.05). Conclusions There are cognitive impairment, age, traumatic epilepsy in middle cerebral traumatic brain injury patients. Rehabilitation therapy is a related factor affecting cognitive function. Rehabilitation and control of traumatic epilepsy can improve cognitive function.