脑卒中患者行为记忆障碍的研究

Application of Rivermead Behavioral Memory Test for stroke patients

目的：通过对脑卒中患者行为记忆能力的测查，为了解脑卒中患者记忆能力障碍提供客观依据，同时探讨病变部位及病程对其行为记忆能力的影响。方法：用Ｒｉｖｅｒｍｅａｄ行为记忆检查对３８例脑卒中患者及３８例正常人进行测查。结果：（１）脑卒中患者的行为记忆能力较正常对照组有明显障碍（Ｐ＜０．０１）。（２）无论病灶是在皮层还是在皮层下，均可引起患者行为记忆障碍，而皮层损伤者其障碍较皮层下更明显（Ｐ＜０．０５）。（３）病程对脑卒中患者的行为记忆能力有影响，病程超过１年者其行为记忆能力低下更明显（Ｐ＜０．０１）。（４）脑卒中患者工具性日常生活活动能力与行为记忆能力呈显著正相关（Ｐ＜０．０１）。结论：Ｒｉｖｅｒｍｅａｄ行为记忆检查可作为脑卒中患者行为记忆障碍的客观指标。

Objective:To provide objective data for behavioral memory impairment after stroke. Method:38cases of stroke patients and 38 normal subjects as control were administered to the Rivermead Behavioral Memory Test (RBMT).Results:(1)As compared with the control group,the group of patients had highly significant behavioral memory impairment( P <0.01).(2)Either cortical or subcortical foci could give rise to behavioral memory impairment,but the impairment on cortical was more marked than on subcortical( P <0.05).(3)The course of disease affected the ability of behavioral memory.The impairment was more marked when the course of disease exceeded one year.(4)There was a marked positive correlation between intellect activities of daily living and the ability of behavioral memory with stroke( P <0.01).Conclusion:RBMT may be objective data of behavioral memory impairment with stroke.Ability of behavioral memory are damaged in stroke patients. Author′s address\ Department of Rehabilitation Medicine, China Japan Friendship Hospital, Beijing, 100029