脑部不同部位损害所致认知功能障碍临床资料分析

Analyses of clinical data of cognitive dysfunction due to differ-ent brain area injury

目的：了解脑部不同部位损害所致认知功能障碍的临床特征。方法采用阳性与阴性症状量表、社会功能缺陷筛查量表及长谷川痴呆筛查量表对40例不同部位脑部损害患者的认知功能障碍进行测评分析。结果额叶损伤患者认知功能障碍主要表现为注意力异常、语言功能受损、工作记忆和情景记忆下降、执行功能及计划能力下降、持续行为、妄想等；顶叶损伤患者认知功能障碍主要表现为皮质性感觉障碍、遗忘性失语及书写不能、特殊综合征等；颞叶损伤患者认知功能障碍主要表现为发作性幻觉、情绪不稳定、记忆力下降等。结论不同部位脑损害引起的认知功能障碍表现有所不同。

Objective To investigate the clinical features of cognitive dysfunction due to different brain ar‐ea injury .Methods Assessments of cognitive dysfunction were carried out with the Positive and Negative Syndrome Scale （PANSS） ,Social Disability Screening Schedule （SDSS） and Hasegawa Dementia Scale （HDS） in 40 patients with different brain area injury .Results Cognitive dysfunction manifestations of frontal lobe injury patients were mainly abnormal attention ,language function impairment ,lowered work‐ing and scene memory ,lowered executive function and plan ability ,perseverative behavior ,delusion and so on;cognitive dysfunction manifestations of parietal lobe injury patients were mainly cortex sensory dis‐turbance ,amnesic aphasia and agraphia ,special syndrome and so on ;cognitive dysfunction manifestations of temporal lobe injury patients were mainly paroxysmal hallucination ,emotional lability ,lowered memory and so on .Conclusion Manifestations of cognitive dysfunction due to different brain area injury are some‐w hat different .