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目的:分析西宁地区与平原地区颅脑外伤后认知功能障碍的特点。方法:采用简易智力状况检查量表(MMSE)评定颅脑外伤后认知功能状态,对比分析西宁地区(海拔2 260m)61例及平原地区上海(海拔4m)67例脑外伤患者的认知功能状况。结果:西宁地区中重度颅脑外伤患者的MMSE总分、记忆力、回忆得分明显低于平原地区(P<0.05);在定向、计算、复述、命名方面得分相比无明显差异(P>0.05)。结论:西宁地区急性颅脑外伤患者认知功能障碍的特点较平原地区有其相对的特殊性,高原缺氧可能是重要的影响因素。
Objective: To analyze the characteristics of cognitive dysfunction after craniocerebral trauma in Xining area and plain areas. Methods: MMSE was used to evaluate the cognitive function of craniocerebral trauma patients. The cognitive function of 61 traumatic brain injury patients in Xining (2 260 m) and Shanghai (4 m above sea level) plains was compared and analyzed. situation. Results: The score of MMSE, memory and recall of patients with moderate-severe traumatic brain injury in Xining were significantly lower than those in plain areas (P <0.05). There was no significant difference in orientation, calculation, reiteration and naming (P> 0.05) . Conclusion: The characteristics of cognitive dysfunction in patients with acute craniocerebral trauma in Xining area are more specific than those in plain areas. The hypoxia may be an important factor.