梗死部位对脑卒中患者执行功能与自我效能的影响

Influence of Infarction Location on Executive Function and Self-efficacy of Patients with Ischemic Stroke

目的探讨不同梗死部位脑卒中患者执行功能和自我效能的情况。方法选取基底节区、顶枕叶区、额叶区、其他部位梗死患者各80例,以同期在该医院进行体格检查的健康人80名为对照组。对所有对象应用威斯康星卡片测验系统(WCST)、画钟实验(CDT)、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)、一般自我效能量表(GSES)进行评测。结果不同部位脑卒中患者WCST各项评分和CDT评分、GSES得分均差于对照组(P<0.05);病例组组间比较显示,额叶区和基底节区卒中组WCST中的4项及CDT、GSES评分均差于顶枕叶区和其他部位卒中组(P<0.05)。各组间SDS和SAS评分无显著性差异(P>0.05)。结论脑梗死可造成患者执行功能障碍和自我效能水平降低,以额叶区和基底节区损伤患者最为明显。

Objective To investigate the influence of infarction location on the executive function and self-efficacy of patients with isch- emic stroke. Methods 320 patients with cerebral infarction at basal ganglia, parietal-occipital lobe, frontal lobe and other areas （80 cases re- spectively） and 80 healthy people were assessed with Wisconsin Card Sorting Test （WCST）, Clock Drawing Test （CDT）, Self-rating Depres- sion Scale （SDS）, Self-Rating Anxiety Scale （SAS） and General Self-efficacy Scale （GSES）. Results The scores ofWCST, CDT and GSES were significantly worse in the patients than in the controls, especially in those with infarction at frontal lobe and basal ganglia. There was no significant difference in scores of SDS and SAS among all the subjects （P〉0.05）. Conclusion There are executive function and self-effi- cacy impairment in ischemic stroke patients, especially for those with the focus at frontal lobe and basal ganglia.