轻度左侧额、颞叶挫伤患者执行功能的评价

The evaluation of executive functions in patients with mild contusion in left frontal lobe and left temporal lobe

目的研究轻度左侧额、颞叶挫伤患者执行功能损害的特点和差异,为临床治疗提供指导和依据。方法对左侧额叶和颞叶挫伤患者各25例及健康对照组30例分别进行画钟测验、韦氏成人智力量表的图片排列分测验、相似性分测验在内的神经心理测验,并对所得结果进行相关性分析。结果左侧额叶挫伤患者与健康对照组相比,画钟测验、韦氏成人智力量表的图片排列分测验和相似性分测验得分均低,差异有统计学意义(P<0.05);左侧颞叶挫伤组仅画钟测验得分低于健康对照组(P<0.05);左侧额叶挫伤和左侧颞叶挫伤组间比较,额叶挫伤组画钟测验、韦氏图片排列分测验和相似性分测验得分均低于颞叶组,差异有统计学意义(P<0.05);额叶组损害重于颞叶组。结论左侧额、颞叶挫伤患者表现出执行功能的损害,以额叶挫伤患者明显。

Objective To study the impairment of executive functions of patients with mild contusion in both left frontal lobe and left temporal lobe. Methods Twenty-five patients with contusion in left frontal lobe,25 patients with contusion in left temporal lobe,and 30 healthy controls were administered with neuropsychological tests for executive functions including WAIS-RC（PAT）,WAIS-RC（ST） and CDT,then the results were analyzed. Results Compared with healthy controls,the patients with mild contusion in left frontal lobe showed significant impairment in each target of executive function.Patients with contusion in left temporal lobe only showed significant impairment in CDT.The scores of patients with contusion in frontal lobe were lower than that of temporal lobe. Conclusions The executive functions of patients with mild contusion in left frontal lobe and left temporal lobe had obvious impairment.And the impairment of left frontal lobe may be more serious.