CAJ | 학술논문

　　目的探讨脑外伤后综合征患者的执行功能特点，为临床工作提供理论依据。方法纳入40名脑外伤后综合征患者和20名正常对照者，应用言语流畅性测验（动物）、威斯康星卡片分类测验（WSCT）、汉诺塔（TOH）对受试者进行执行功能评定，对两组执行功能的差异进行相关分析。结果脑外伤后综合征患者组言语流畅总数、WSCT 分类数、WSCT 总错误数、WSCT 持续错误数、TOH 平均执行时间、TOH 总分显著差于正常对照组，差异有统计学意义（P ＜0.05）。而言语流畅重复数和 TOH 平均计划时间两组相比较差异无统计学意义（P＞0.05）。结论脑外伤后综合征患者的执行功能明显受损，这可能是脑外伤后综合征患者工作和学习能力下降的原因之一。
　　목적탐토뇌외상후종합정환자적집행공능특점，위림상공작제공이론의거。방법납입40명뇌외상후종합정환자화20명정상대조자，응용언어류창성측험（동물）、위사강성잡편분류측험（WSCT）、한낙탑（TOH）대수시자진행집행공능평정，대량조집행공능적차이진행상관분석。결과뇌외상후종합정환자조언어류창총수、WSCT 분류수、WSCT 총착오수、WSCT 지속착오수、TOH 평균집행시간、TOH 총분현저차우정상대조조，차이유통계학의의（P ＜0.05）。이언어류창중복수화 TOH 평균계화시간량조상비교차이무통계학의의（P＞0.05）。결론뇌외상후종합정환자적집행공능명현수손，저가능시뇌외상후종합정환자공작화학습능력하강적원인지일。
Objective To explore the features of executive functions of patients with post-concussion syndrome. Methods The study was conducted in 40 patients with post-concussion syndrome and 20 normal controls. They were evaluated executive functions by verbal fluency test(animal), Wisconsin Card Sorting Test(WSCT) and Tower of Hanoi(TOH). Results Compared with normal controls, the patients with post-concussion syndrome were significantly impaired in total scores of verbal fluency, categories , total errors and persistent errors of WSCT, total score and mean executive time of TOH(P<0.05). The repeats of verbal fluency and mean planning time of TOH have no difference in two groups(P>0.05). Conclusions The executive functions is impaired in patients with post-concussion syndrome. It is one of the reason for decreased learning and working ability.