CAJ | 학술논문

目的探讨精神分裂症智能损害与脑萎缩的关系.方法应用WAIS-RC对34例精神分裂症患者进行智力测验,然后按CT结果分为脑萎缩组28例(82%)和非脑萎缩组6例(18%),分别进行智力测验比较并与常模对照,同时分析不同智力水平脑萎缩的情况.结果脑萎缩组的智能损害更明显、智力水平越低、脑萎缩的发生率越高、程度越重、分布越广(如脑室扩大、脑裂增宽、脑沟加深、甚至全脑萎缩).结论精神分裂症智能损害与脑萎缩关系密切,提示精神分裂症智能损害者存在脑器质损害基础.
목적탐토정신분렬증지능손해여뇌위축적관계.방법응용WAIS-RC대34례정신분렬증환자진행지력측험,연후안CT결과분위뇌위축조28례(82%)화비뇌위축조6례(18%),분별진행지력측험비교병여상모대조,동시분석불동지력수평뇌위축적정황.결과뇌위축조적지능손해경명현、지력수평월저、뇌위축적발생솔월고、정도월중、분포월엄(여뇌실확대、뇌렬증관、뇌구가심、심지전뇌위축).결론정신분렬증지능손해여뇌위축관계밀절,제시정신분렬증지능손해자존재뇌기질손해기출.
Objective To explore the relationship between intelligence impairment and brain atro-phy in schixophrenia. Methods 34 cases with schizophrenia were tested intelligence with WAIS-RC andwere examined brain CT. Then, according to CT results, all the subjects were classified into two grups-the brain atrophy group with 28 patients (about 82%) and the non-brain atrophy group with 6 cases(about 18%). The intelligence of the two groups were compared with each other with the control ofnorms. At the same time, the conditions of brain atrophy in different levels were analyzed. Results Thebrain atrophy group showed obviously more intelligence impairment. The lower the intelligent level was ,the higher the incidence of brain atrophy showed, and the severer and broader the brain atrophy was suchas ventricle broadenness, fissure widenness, sulci deeepenness, even the whole brain atrophy.Conclusions There was close relationship between intelligence impairment and brain atrophy in schixo-phrenia. This suggested that the schizophrenics with intelligence impairment existed the basis of brainorganic impairment.