张新萍，王强马，玉莹，谭兰，秦丽晨，李铁山.急性脑卒中偏瘫患者认知功能障碍的相关研究[J].中华物理医学与康复杂志,2004,(12):
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| 急性脑卒中偏瘫患者认知功能障碍的相关研究 |
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| DOI： |
| 中文关键词: 脑卒中 认知功能 偏瘫 |
| 英文关键词: Stroke Cognitive function Hemiplegia |
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| 中文摘要: |
| 目的探讨急性脑卒中患者早期认知功能障碍，及其与运动功能障碍间的相关性。 方法选择急性脑卒中偏瘫患者44例，应用洛文斯顿作业疗法认知评定成套测验（LOTCA）评定其认知功能，采用简式Fugl-Meyer运动量表（FMA）评定其运动功能，评定时间为发病后半个月内。应用SPSS统计软件进行统计学分析。 结果皮层下病变所致的偏瘫患者的认知功能LOTCA总积分与FMA积分呈显著相关（r=0.523，P<0.01），其中定向力、知觉力及视运动组织能力的LOTCA积分与FMA积分呈显著正相关（r=0.515，0.583，0.495，P<0.01），思维运作能力的LOTCA评分与FMA积分无显著相关性（r=0.306，P>0.05）。右侧与左侧偏瘫患者的各项LOTCA评分经t检验，差异均无统计学意义（P>0.05）。 结论皮层下病变所致的急性脑卒中患者的认知功能障碍与运动功能障碍呈显著正相关；左、右两侧半球病变均可引起不同程度、不同类型的认知损害；对于偏瘫较重的患者应注意其认知功能的评估与治疗。 |
| 英文摘要: |
| Objective To investigate the early cognitive impairment in patients with acute stroke, and analyze its relationship with motor dysfuction. MethodsFifty patients with acute stroke were enrolled into this study. The Loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA) was used to evaluate the cognitive function of the patients, and the Fugl-Meyer Assessment (FMA) were used to evaluate the motor function. All the patients were evaluated within half a month after the onset of the illness. ResultsIn patients with subcortical lesion, the total score of cognitive function is significantly related to the FMA score (r=0.523, P<0.01), and orientation, perception and optomotor tissue score of LOTCA are significantly relative to the FMA score (r=0.515, 0.583, 0.495 respectively, P<0.01), there is no significant relationship between the thought operation score of LOTCA and the FMA score (r=0.306, P>0.05). There is no significant difference in LOTCA score between patients with right and left hemiplegia (P>0.05). ConclusionThe lesions of left and right hemisphere can both cause cognitive impairment, which is significantly correlated with the severity of motor dysfunction in acute stroke patients with subcortical lesion.Great attention should be paid to the evaluation and treatment of cognitive dysfunction in patients with serious hemiplegia. |
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