痴呆病人的格式塔功能测查及评定

The Measurement and Evaluation of the Gestalt Function in Dementia Patients

目的 介绍本德格式塔测验的测查及评定方法 ,用此测验对一些痴呆病人进行测查 ,并与正常人结果进行对照分析 ,以观察痴呆病人在视知觉及认知方面的改变。方法 痴呆病人 3 0名和正常对照组 15名 ,分别进行格式塔测验 ,Pascal-Suttell法记分。结果 15名正常对照者 ,MMSE均为 3 0分 ,格式塔测验均能全部完成 ,未见明显错误 ,Pascal-Suttell法记分平均为 12 7± 7 5分。 3 0例病人MMSE为 16 7分 ,测验显示图形有忽视 ,顺序混乱、重叠、象征化、持续、退行、旋转、崩溃、简单化、符号化等 ,Pascal-Suttell记分平均为 46 9± 14 8分。两组测查分数经t检验 ,有显著性差异 (P <0 0 1)。结论 格式塔测验可作为诊断痴呆的一种辅助手段 ,方法简便 ,易行。

Objective To introduce the method of examination and assessment of Bender Gestalt Test. and to know the differences in visuo perception and cognition between dementia patients and normal people. Methods Bender Gestalt Test and Pascal Suttell Tally were practiced in 30 dementia patients as case group and 15 normal people as control group. Results The control group all finished Bender Gestalt Test without evident mistake, who scored 30 mark in MMSE and 12 7±7 5 mark in Pascal Suttell Tally. During the course of Bender Gestalt Test, the case group appeared ignorance, inordination, superposition, emblem, persistence, degeneration, circumgynation, collapse, simplification, symbolization, et al, who scored 17 6 mark in MMSE averagely and 46 9±14 8 mark in Pascal Suttell Tally. There were significant differences between the two groups (p<0 01). Conclusions Bender Gestalt Test is very simple and easy, and can be used as an assistant method in diagnosing dementia.