文章摘要
尤春景,许涛,欧阳多利,黄国荣,李文迅.认知障碍与脑损害部位的相关研究[J].中华物理医学与康复杂志,2003,(4):.-
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认知障碍与脑损害部位的相关研究
  
DOI:
中文关键词: 认知障碍  神经行为认知测试  脑损害
英文关键词: Cognitive dysfunction  NCSE  Brain lesion
基金项目:卫生部科学研究基金项目(NO.98-1-128)
作者单位
尤春景,许涛,欧阳多利,黄国荣,李文迅 430030武汉华中科技大学同济医学院附属同济医院康复医学科 
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中文摘要:
      目的明确认知障碍与脑损害部位是否有必然的联系,探索不同的认知障碍在脑部相应区域的定位。 方法采用中文版神经行为认知测试(NCSE)量表测试脑部损害后有认知障碍的患者30例,将其脑部损害的CT定位与NCSE的10个分项目(ORI、ATT、COMP、REP、NAM、CONST、MEM、CALC、SIM、JUD)进行相关分析。 结果左、右侧均与COMP相关(P<0.05);额叶与CALC、JUD、MEM相关(P值分别为<0.05及<0.01);顶叶与NAM、JUD相关(P<0.05 ),与REP、CALC明显相关(P<0.01);颞叶和基底节与各项分测验均不相关(P>0.05)。 结论认知障碍与脑病损部位有关,以额、顶叶损害较为明显。
英文摘要:
      Objective To define whether there exists correlation between the cognitive dysfunction and the locus of brain lesion and to map the localization of brain lesions for different cognitive dysfunction. MethodsCognitive function was tested with NCSE in 30 patients with cognitive dysfunction caused by brain lesion. Correlation between the locus of brain lesion and cognitive dysfunction was tested and analyzed with CT scan and 10 items (ORI, ATT, COMP, REP, NAM, CONST, MEM, CALC, SIM and JUD) of the NCSE. ResultsThe lesions of either side of brain were related to COMP, while the frontal lobe was related to CALC, JUD and MEM; lesions of the parietal lobe were related to NAM, JUD and especially to the item of REP and CALC (P<0.01). No significant relation was revealed between temporal or basilar lesions with the above-mentioned items(P>0.05). ConclusionCognitive dysfunction is related to the locus of brain lesion, and this is especially true for lesions in the frontal and parietal lobes.
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