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脑损伤患者的执行功能损害

张慧丽 恽晓平 郭华珍 宋桂芸 高明明

中国康复理论与实践2016,Vol.22Issue(5):504-507,4.
中国康复理论与实践2016,Vol.22Issue(5):504-507,4.DOI:10.3969/j.issn.1006-9771.2016.05.003

脑损伤患者的执行功能损害

Executive Function Deficits in Patients with Brain Injury

张慧丽 1恽晓平 2郭华珍 1宋桂芸 2高明明1

作者信息

  • 1. 首都医科大学康复医学院,北京市100068
  • 2. 中国康复研究中心北京博爱医院康复评定科,北京市100068
  • 折叠

摘要

Abstract

Objective To investigate the characteristics of executive function in patients with brain injury. Methods From March 1st, to June 30th, 2015, 44 patients with brain injury were investigated with Wisconsin Card Sorting Test (WCST), the indexes including Responses Answer, Categories Completed, Correct Responses, Errors Responses, Trials to Complete First Category, Percent Conceptual Level Respons-es Percentage, Perseverative Responses Errors, Nonperseverative Responses Errors, Failure to Maintain Set, and Learning to Learn. Results The abnormal rates were the most in Nonperseverative Responses Errors and Percent Conceptual Level Responses Percentage (61.36%), and then in Responses Answer/Categories Completed/Correct Responses (59.09%), Correct Responses (43.18%), Trials to Complete First Category (38.64%), Perseverative Errors (29.51%), Learning to Learn (25.00%), and Failure to Maintain Set (9.09%). The patients with trau-matic brain injury were different from those with stroke in Responses Answer, Errors Responses, Perseverative Responses Errors, Catego-ries Completed, Percent Conceptual Level Responses Percentage, and Learning to Learn (Z>2.444, t>2.156, P<0.05). The patients injured in frontal lobe were different from those in other areas in Perseverative Responses Errors (t=2.595, P=0.015). Conclusion Executive function damaged generally in patients with brain injury, which related to concentration, abstract, shifting attention, working memory, etc. The frontal lobe damage may associate with the disorder of shifting attention.

关键词

脑损伤/执行功能/威斯康星卡片分类测验

Key words

brain injury/executive function/Wisconsin Card Sorting Test

分类

医药卫生

引用本文复制引用

张慧丽,恽晓平,郭华珍,宋桂芸,高明明..脑损伤患者的执行功能损害[J].中国康复理论与实践,2016,22(5):504-507,4.

基金项目

中央级公益性科研院所基本科研业务费专项资金重点支持课题(No.2015CZ-28)。 (No.2015CZ-28)

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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