CAJ | 학술논문

目的：通过神经心理学测验评估脑型Wilson病（Wilson＇s disease，WD）患者晶体智力和流体智力水平，探讨其智力结构变化的特点及相关因素。方法选取32例脑型WD患者为研究对象，采用韦氏智力量表、瑞文标准推理测验（ R′SPM ）进行晶体智力和流体智力测评，运用SPSS 11．5软件分析患者的晶体智力、流体智力变化及相关因素。结果43．75％脑型WD患者晶体智力水平下降，78．13％脑型WD患者流体智力水平下降，瑞文标准推理测验智商（RWIQ）得分低于韦氏智力测定全量表智商（FIQ）得分（P＜0．05）；韦氏智力测定言语量表智商（VIQ）、韦氏智力测定操作量表智商（PIQ）与FIQ呈正相关（P＜0．05），瑞文标准推理测验E分测验（RWE）、性别与RWIQ呈正相关（P＜0．05），FIQ与RWIQ无相关性（P＞0．05）。结论脑型WD患者的智力结构存在不均衡受损，流体智力水平下降较晶体智力水平更为明显。流体智力和晶体智力不可相互替代。
목적：통과신경심이학측험평고뇌형Wilson병（Wilson＇s disease，WD）환자정체지력화류체지력수평，탐토기지력결구변화적특점급상관인소。방법선취32례뇌형WD환자위연구대상，채용위씨지역량표、서문표준추리측험（ R′SPM ）진행정체지력화류체지력측평，운용SPSS 11．5연건분석환자적정체지력、류체지력변화급상관인소。결과43．75％뇌형WD환자정체지력수평하강，78．13％뇌형WD환자류체지력수평하강，서문표준추리측험지상（RWIQ）득분저우위씨지력측정전량표지상（FIQ）득분（P＜0．05）；위씨지력측정언어량표지상（VIQ）、위씨지력측정조작량표지상（PIQ）여FIQ정정상관（P＜0．05），서문표준추리측험E분측험（RWE）、성별여RWIQ정정상관（P＜0．05），FIQ여RWIQ무상관성（P＞0．05）。결론뇌형WD환자적지력결구존재불균형수손，류체지력수평하강교정체지력수평경위명현。류체지력화정체지력불가상호체대。
Objective Through conducting neuropsychological test to evaluate crystallized intelligence and fluid intelligence of brain type patients with Wilson's disease ( WD) ,to analyze the characteristics of intelligence structure changing and other related factors .Methods Wechsler intelligence test and Raven's standard progressive matrices ( R'SPM) were conducted among 32 brain type WD patients ,in order to assess crystallized intelligence and fluid intelligence .The diversities of patients crystallized intelligence , fluid intelligence and other related factors were analysed by using SPSS 11.5 software.Results 43.75%brain type WD patients showed a decrease in crystallized intelligence while 78.13%patients showed fluid intelligence drop .Moreover,Raven's standard progressive matrices intelligence quotient (RWIQ) ranking was significantly less than full measuring scale intelligence quotient (FIQ) (P<0.05),verbal intelligence quotient (VIQ) and performance intelligence quotient (PIQ )appeared significantly positive correlation (P<0.05) with FIQ.In addition,RWE,gender showed significantly positive correlation(P<0.05) with RWIQ;however,FIQ did not show any relation with RWIQ(P>0.05).Conclusion Brain type WD pa-tients'intelligence structure has unbalanced damage ,and fluid intelligence decreases more obviously than crystallized intelligence .The fluid in-telligence and crystallized intelligence cannot replace with each other .