基底神经节区脑血管病变致记忆障碍的特点分析

Characteristics of Memory Disorder Caused by Cerebral Vascular Lesions in the Basal Ganglia Region

目的分析左右两则基底神经节区脑血管病变致记忆障碍的特点。方法方便选取江苏省人民医院神经内科在2013年5月—2016年5月收治的基底神经节区脑血管病变患者80例进行回顾性分析,其中左侧神经节区脑血管病变患者为实验组,右侧神经节区脑血管病变患者为对照组,每组40例,采用修订的韦氏成人记忆量表检查两组患者的记忆功能,并记录两组患者的各项得分,然后统计分析患者的记忆商数,以确定基底神经节区脑血管病变致记忆障碍的类型。结果在语文记忆方面,实验组患者联想学习、理解记忆、触觉回忆等各量表评分低于对照组患者,差异具有统计学意义(P<0.05);在非语文方面,实验组患者再认、再生等各量表评分高于对照组患者,差异具有统计学意义(P<0.05),两组患者记图量表评分差异无统计学意义(P>0.05)。结论患者的左侧基底神经节区脑血管病变会严重影响到患者的语文记忆功能,这说明在记忆方面人们的左侧基底神经节区存在明显的偏侧化优势;患者的右侧基底神经节区脑血管病变会严重损害到患者的图形、视觉空间记忆,这说明在视觉空间功能方面人们的右侧基底神经节区与右侧大脑半球一样具有明显的优势。

Objective To analyze the characteristics about two basal ganglia cerebral vascular disease caused by memory impairment. Methods Convenient selection Department of Neurology, Jiangsu Province People＇s Hospital 2013 to 2016 years 5 months from the basal ganglia brain vascular lesions in 80 patients were retrospectively analyzed in our hospital were selected, which left stellate ganglion region cerebral vascular disease patients as the experimental group, right ganglia cerebrovascular disease patients as the control group, each with 40 cases in each by Wechsler Adult Memory table memory function in two groups of patients are examined, and record the score of two groups of patients, and statistical analysis of patients with memory quotient, to determine the type of memory impairment caused by basal ganglia cerebral vascular disease. Results In verbal memory, the patients of associative learning and understanding of memory, tactile memories each scale score lower than the patients in the control group, the difference has statistical significance（P〈0.05）; in non Chinese,patients in the experimental group recognition, regeneration of the scale scores higher than in the control group, the difference is statistically（P〈0.05）, the two groups of patients with mind map scale score was not statistically significant（P〈0.05）. Conclusion Patients with left basal ganglion region cerebral vascular disease will seriously affect the patient＇s verbal memory function, which shows that in memory of people of the left basal ganglia exist obvious lateralization advantage; in patients with right basal ganglion region cerebral vascular disease will seriously harm to patients with graphics, visual spatial memory, suggesting that in visual spatial function of people＇s right basal ganglia and the right side of the brain hemisphere has obvious advantages.