左侧基底节脑卒中患者认知功能分析

Cognitive function analysis of stroke patients with lesion confined to the left basal ganglia region

目的初步评估左侧基底节脑卒中患者的认知功能。方法应用《基本认知能力测验》(2.0单机版)量表对28例左侧基底节脑卒中患者(脑卒中组)和30例正常被试(对照组)进行测试,比较两组被试的数字快速拷贝、汉字比较、心算、汉字旋转、数字工作记忆广度、双字词再认和无意义图形再认能力之间的关系。结果脑卒中组的数字快速拷贝、汉字比较、心算、汉字旋转、数字工作记忆广度和无意义图形再认成绩较对照组明显下降(P<0.05);而在双字词再认虚报数增加(P<0.05),再认成绩下降(P<0.01),再认正确数与对照组比较,差异无统计学意义(P>0.05)。结论左侧基底节脑卒中患者认知功能的内容和效率均受损。

Objective To evaluate the cognitive function of stroke patients with lesion confined to the left basal ganglia region. Methods Twenty-eight stroke patients with lesion confined to left basal ganglia and 30 matched controls participated in the study. The ability of sensorimotor speed, calculation, space conformation, working memory, recognition of word and meaningless figure was evaluated. Results The ability of sensorimotor speed, calculation, space conformation, working memory,recognition of word and meaningless figure in patients was impaired. In the test for recognition of word,the correct number of reeognization in stroke patients had no significant difference compared with controls （P 〉 0.05） ,but they made more false statement than controls （P 〈 0.05） and the recognition results had significant difference compared with controls （P〈 0.01）. Conclusions The content of cognition function and cognitive efficiency were impaired in the patients with lesion confined to the left basal ganglia region.