中国临床康复2003，Vol.7Issue(10)：1534-1535,2.
腔隙性脑梗死患者智能障碍的前瞻性研究
Prospective study of disturbance of intelligence of patients with lacunar stroke
陈湛愔 1陈逢俭 1梁秀竹1
作者信息
- 1. 广东医学院附属湛江中心医院神经内科,广东省湛江市,524037
- 折叠
摘要
Abstract
Aim To find the regularity of disturbance of intelligence through prospective study of patients with lacunar stroke.Methods 186 patients with lacunar stroke recruited in Department of Neurology of Affiliated Central Hospital of Guangdong Medical College entered this study,51 cases were combined with slight aphemia and most of them achieved obvious improvement within one week after hopitalization,and aphasis was not seen in others.The symptoms of limb paralysis of all the patients were slight and the muscular strengths were all above grade IV,which were improved obviously within one week.Then all the 186 cases were measured with adult intelligence table and multiple correlation analysis was done according to sex,age,job and education extent of patients and image characteristics.Results The intelligence of 130 patients with lacunar stroke was lower than normal and accounted for 70% of 186 cases.51 cases belonged to severe disturbance of intelligence(VIQ< 69) and accounted for 27.4% .The relationship between education extent and disturbance of intelligence presented significant negative correlation(r=-0.6307,P=0.001).The cerebral infarction in left - side basal ganglion,area of corona radiata and left - side temporal lobe could easily cause disturbance of intelligence(r=-0.217,P=0.003) than right side.Binswanger syndrome was the important reason leading to disturbance of intelligence(r=-0.2677,P< 0.001).Conclusion Different lesion locus often leads to obviously different extent of disturbance of intelligence.Left hemisphere lesion could easily cause disturbance of intelligence,especially left basal ganglion and temporal lobe.The disturbance of intelligence of patients with multiple locus is severer than that with single locus.In addition,single infracortical cava stroke can cause obvious disturbance of intelligence.The disturbance of intelligence caused by sex,age and job has no correlation with that caused by infracortical cava stroke,but it presents negative correlation between education extent and extent of disturbance of intelligence. 关键词
脑梗塞/前瞻性研究/韦氏智力量表Key words
brain infarction/prospective studies/Wechsler scales分类
医药卫生引用本文复制引用
陈湛愔,陈逢俭,梁秀竹..腔隙性脑梗死患者智能障碍的前瞻性研究[J].中国临床康复,2003,7(10):1534-1535,2.
