中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2011年
8期
592-594
,共3页
脑卒中%认知障碍%前瞻性记忆
腦卒中%認知障礙%前瞻性記憶
뇌졸중%인지장애%전첨성기억
Acute stroke%Cognitive impairment%Prospective memory
目的 筛查急性期脑卒中认知障碍患者有无前瞻性记忆(PM)障碍，探讨其PM障碍的特点。方法 筛选符合标准的急性期脑卒中认知障碍患者60例作为实验组，另选年龄、性别、文化程度与实验组相匹配的“正常人”60名作为对照组，2组均给予汉化版剑桥前瞻性记忆测试、数字广度测试、普通话版Rivermead行为记忆测试、中文版Stroop字-颜色测试、色彩追踪测试。结果 2组间基于时间的PM( TBPM)及其意图激活阶段的评分比较，差异具有统计学意义(p＜0.05)。结论 急性期脑卒中认知障碍患者明显存在TBPM障碍，可能因意图阶段受损导致，建议作为判断急性期脑卒中有无认知障碍的评估指标之一。
目的 篩查急性期腦卒中認知障礙患者有無前瞻性記憶(PM)障礙，探討其PM障礙的特點。方法 篩選符閤標準的急性期腦卒中認知障礙患者60例作為實驗組，另選年齡、性彆、文化程度與實驗組相匹配的“正常人”60名作為對照組，2組均給予漢化版劍橋前瞻性記憶測試、數字廣度測試、普通話版Rivermead行為記憶測試、中文版Stroop字-顏色測試、色綵追蹤測試。結果 2組間基于時間的PM( TBPM)及其意圖激活階段的評分比較，差異具有統計學意義(p＜0.05)。結論 急性期腦卒中認知障礙患者明顯存在TBPM障礙，可能因意圖階段受損導緻，建議作為判斷急性期腦卒中有無認知障礙的評估指標之一。
목적 사사급성기뇌졸중인지장애환자유무전첨성기억(PM)장애，탐토기PM장애적특점。방법 사선부합표준적급성기뇌졸중인지장애환자60례작위실험조，령선년령、성별、문화정도여실험조상필배적“정상인”60명작위대조조，2조균급여한화판검교전첨성기억측시、수자엄도측시、보통화판Rivermead행위기억측시、중문판Stroop자-안색측시、색채추종측시。결과 2조간기우시간적PM( TBPM)급기의도격활계단적평분비교，차이구유통계학의의(p＜0.05)。결론 급성기뇌졸중인지장애환자명현존재TBPM장애，가능인의도계단수손도치，건의작위판단급성기뇌졸중유무인지장애적평고지표지일。
Objective To explore the characteristics of prospective memory ( PM ) deficit in acute stroke patients with cognitive impairment. Methods Sixty patients suffering from acute stroke who met the inclusion criteria in screening with the neurobehavioral cognitive status examination (NCSE) were enrolled into the experimental group. Sixty healthy participants who matched the experimental group in gender distribution and average age and education level were assigned as a control group. All the participants completed several neuropsychological evaluations,including the Chinese version of the Cambridge prospective memory test ( C-CAMPROMT), the Chinese version of the Rivermead behavior memory test (C-RBMT), a digit-span test (DS), the Chinese version of Stroop's word-color test (C-SWCT) and a color trail test (CTT). Results Time-based PM (TBPM) scores in the control group were significantly higher than in the experimental group. At the intention initiation stage TBPM scores in the control group were also significantly better than in the experimental group. The TBPM performance of the experimental group was significantly worse than that of the controls when PM performance was compared with other cognitive functions controlled for. Conclusions The acute stroke patients with cognitive impairment showed greater TBPM performance deficits than the controls. This may have resulted from impairment at the intention initiation stage. TBPM deficits may exist independently. If so, they could serve as an assessment of cognitive impairment after stroke.
