无症状性脑梗死患者的心理及行为评价

Evaluation on psychology and behavior of patients with silent cerebral infarction

目的:对无症状性脑梗死患者进行心理及行为的评价。方法:采用MMSE、WMS、HR神经心理成套测验中的指敲测验、感知觉测验及SDS 对经CT 或 MRI 证实的38例无症状性脑梗死患者进行心理及行为方面的评价,并与对照组比较。结果:无症状性脑梗死组与对照组比较,MMSE 总分无显著性差异,但分测验中近记忆力、注意力、计算力明显下降。无症状性脑梗死病人的WMS 的MQ 及各分测验有显著性下降,指敲测验及各项感知觉测验均有显著性降低。无症状性脑梗死组的 SDS 阳性率及量表分显著高于对照组。结论:无症状性脑梗死患者存在认知功能、记忆、精细运动、感知觉及情感方面的障碍,可能是血管性痴呆的前期。

Objective: To evaluate psychology and hehavior of patients with silent cerebral infarction(SCI). Methods: MMSE, WMS, SDS, Finger-Tapping Test and Test of Sensory-Perceptual Desfunc-tions in Halstead Reitan Battery Revised in China were administered to 38 SCI patients identified by CTor MRI, and 30 control subjects. Results: Level of total seore of MMSE in 38 SCI were same as that incontrol subjects. but the levels of short term memory, attention, calculation in MMSE were lower in SCIpatients. MQ and subtests score of WMS in SCI patients were significantly lower. Finger-Tapping Testand Sensory-Perceptual Test in SCI patients were also Significantly lower. The positive rate and score ofSDS in SCI patients were significantly higher. Conclusion: There were disordar of cognition memory.fine motion Sensory-perception and emotion in SCI patients. SCI maybe early term of vascular dementia.