国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
14期
1671-1673
,共3页
殷青云%唐牟尼%徐贵云%饶冬萍%梁慧薇%欧阳惠仪
慇青雲%唐牟尼%徐貴雲%饒鼕萍%樑慧薇%歐暘惠儀
은청운%당모니%서귀운%요동평%량혜미%구양혜의
抑郁症%认知功能%精神病性症状
抑鬱癥%認知功能%精神病性癥狀
억욱증%인지공능%정신병성증상
Depression%Cognitive function%Psychotic symptoms
目的 研究伴或不伴有精神病性症状的抑郁症患者认知功能损害的特点.方法 与80例健康对照组进行比较,80例抑郁症患者组均符合ICD-10抑郁发作诊断标准,汉密尔顿抑郁量表评分(Hamilton Depression Scale,HAMD17)≥17分.分别采用言语流畅性测验(动物数)、威斯康星卡片分类测验-改良版(modified Wisconsin card sorting test,M-WCST)(48张)、汉诺塔测验、连线测验A和B等神经心理工具进行认知功能评定;采用简明精神病评定量表(Brief Psychiatry Rating Scale,BPRS)筛查和评定出22例伴有精神病性症状的抑郁症患者.结果 (1)与正常组比较,抑郁症患者各项神经心理学测验成绩均差,并且差异有显著性(P<0.05).(2)有精神病性症状的抑郁症患者与无精神病性症状的抑郁症患者比较,伴有精神病性症状的患者各项神经心理成绩均差于无精神病性症状者,仅连线测验A时间分别为(77.2±49.3)s,(59.2±29.3)s,连线测验B时间分别为(121.6±40.0)s,(84.7±36.4)s,差异有显著性(P<0.05).结论 与健康对照比较,抑郁症患者存在广泛的认知损害,有精神病性症状的患者认知损害程度更严重.
目的 研究伴或不伴有精神病性癥狀的抑鬱癥患者認知功能損害的特點.方法 與80例健康對照組進行比較,80例抑鬱癥患者組均符閤ICD-10抑鬱髮作診斷標準,漢密爾頓抑鬱量錶評分(Hamilton Depression Scale,HAMD17)≥17分.分彆採用言語流暢性測驗(動物數)、威斯康星卡片分類測驗-改良版(modified Wisconsin card sorting test,M-WCST)(48張)、漢諾塔測驗、連線測驗A和B等神經心理工具進行認知功能評定;採用簡明精神病評定量錶(Brief Psychiatry Rating Scale,BPRS)篩查和評定齣22例伴有精神病性癥狀的抑鬱癥患者.結果 (1)與正常組比較,抑鬱癥患者各項神經心理學測驗成績均差,併且差異有顯著性(P<0.05).(2)有精神病性癥狀的抑鬱癥患者與無精神病性癥狀的抑鬱癥患者比較,伴有精神病性癥狀的患者各項神經心理成績均差于無精神病性癥狀者,僅連線測驗A時間分彆為(77.2±49.3)s,(59.2±29.3)s,連線測驗B時間分彆為(121.6±40.0)s,(84.7±36.4)s,差異有顯著性(P<0.05).結論 與健康對照比較,抑鬱癥患者存在廣汎的認知損害,有精神病性癥狀的患者認知損害程度更嚴重.
목적 연구반혹불반유정신병성증상적억욱증환자인지공능손해적특점.방법 여80례건강대조조진행비교,80례억욱증환자조균부합ICD-10억욱발작진단표준,한밀이돈억욱량표평분(Hamilton Depression Scale,HAMD17)≥17분.분별채용언어류창성측험(동물수)、위사강성잡편분류측험-개량판(modified Wisconsin card sorting test,M-WCST)(48장)、한낙탑측험、련선측험A화B등신경심리공구진행인지공능평정;채용간명정신병평정량표(Brief Psychiatry Rating Scale,BPRS)사사화평정출22례반유정신병성증상적억욱증환자.결과 (1)여정상조비교,억욱증환자각항신경심이학측험성적균차,병차차이유현저성(P<0.05).(2)유정신병성증상적억욱증환자여무정신병성증상적억욱증환자비교,반유정신병성증상적환자각항신경심리성적균차우무정신병성증상자,부련선측험A시간분별위(77.2±49.3)s,(59.2±29.3)s,련선측험B시간분별위(121.6±40.0)s,(84.7±36.4)s,차이유현저성(P<0.05).결론 여건강대조비교,억욱증환자존재엄범적인지손해,유정신병성증상적환자인지손해정도경엄중.
Objective To study the characteristics of cognitive impairment in depressive patients. Method 80 depressive patients and 80 healthy volunteers were included in the study. Their cognitive function was assessed with trail making test A and B, verbal fluency test (animals), modified Wisconsin card sorting test, and Tower of Hanoi test. 17-Hamilton Depression Scale (HAMD17) was used to assess characteristics of symptoms. A brief psychiatric rating scale (BPRS) was used to screen the patients with psychiatric symptoms. Results (1) Neuropsychological results about trail making test A or B, verbal fluency test, WCST, Tower of Hanoi test were much worse in depressive patients than in normal control (P<0.05). (2) The neuropsychological results of psychotic depressive patients with psychotic symptoms were worse than that of the ones without psychotic symptoms. There was significant difference at time of trail making test Af (77.2±49.3) s, (59.2±29.3) s, respectively] and B f(121.6±40.0) s, (84.7±36.4) s,respectively [between them(P<0.05). Conclusion The cognitive impairment was wide in depressive patients and more serious in psychotic depressive patients.