卒中患者的认知功能与日常生活活动能力关系的研究

A Study of the Relationship of Cognitive Function to ADL Ability of Patients with Stroke

运用WAIS—RC、BI Index分别于卒中发病早期及半年后检查评定了56名卒中患者的认知及日常生活活动能力。初步探讨了认知功能与日常生活活动能力的关系。研究证明:卒中患者发病早期多项认知功能受到损害。WAIS—RC的11项分测验中的知识、算术、相似、词汇、数字符号、填图、图形排列、图形拼凑等分测验分数低于病发后半年的追踪评定分数。逐步回归分析提示:知识、算术、词汇、数字符号为预测卒中预后的最好指标。

Using WAIS-RC and Barthel Index, the Cognition and ADL ability of 56 patients with stroke were investigated at the time of acute onset and 6 months later. The primary study focus on the relationship of cognitive function to the ADL ability. Most aspects of cognition of the investigated patients were affected at the time of acute onset. the performance scores on the subtest for information. Arithmatic, Simi-Iarities , Vacabulary, Digit symbol, Picture completing, Picture arrangment, Object assembly were lower on initial testing than at the 6 months follow-up testing. The result of stepwise multiple regression analysis revealed that scores obtained on information, arithmatic, vocabulary and digit symbol subtest were best predictors of prognosis of stroke.