CAJ | 학술논문

目的：探讨不同部位损伤对颅脑外伤患者认知功能的影响，为颅脑损伤患者认知功能损害的早期诊断和治疗提供参考依据。方法：采用简易智能状态检查量表（ MMSE ）和中文版蒙特利尔认知评估量表（ MoCA）对222例颅脑外伤患者进行认知功能测评，比较不同损伤部位对认知功能的影响。结果：不同部位损伤的颅脑外伤患者认知障碍的发生率差异有统计学意义（P＜0.01），其中额叶组视空间及执行功能评分明显低于其他各组，丘脑组延迟回忆评分与顶叶、枕叶和基底节组差异有统计学意义（ P＜0.05）。而颞叶组注意力评分及语言能力评分明显低于其他各组，差异有统计学意义（ P＜0.05）。结论：不同部位脑损伤患者认知障碍的发生率及认知损害的特点不同。
목적：탐토불동부위손상대로뇌외상환자인지공능적영향，위로뇌손상환자인지공능손해적조기진단화치료제공삼고의거。방법：채용간역지능상태검사량표（ MMSE ）화중문판몽특리이인지평고량표（ MoCA）대222례로뇌외상환자진행인지공능측평，비교불동손상부위대인지공능적영향。결과：불동부위손상적로뇌외상환자인지장애적발생솔차이유통계학의의（P＜0.01），기중액협조시공간급집행공능평분명현저우기타각조，구뇌조연지회억평분여정협、침협화기저절조차이유통계학의의（ P＜0.05）。이섭협조주의력평분급어언능력평분명현저우기타각조，차이유통계학의의（ P＜0.05）。결론：불동부위뇌손상환자인지장애적발생솔급인지손해적특점불동。
Objective:To explore the cognitive function in patients with craniocerebral injury of different areas , provide a reference for the early diagnosis and treatment of cognitive impairment in patients with traumatic brain injury.Methods: 222 cases with craniocerebral injury were included in the current study , their cognitive dysfunction was evaluated with Mini-Mental State Examination ( MMSE ) and Montreal cognitive assessment scale ( MoCA) , and different effects on cognitive function were compared .Results: The difference in the incidence of the different parts of the brain trauma injury cognitive impairment in patients was significantly different ( P<0.01) , visuospatial and executive functions of the frontal lobe group scores were significantly lower than the other groups , hypothalamus group delayed recall score and the parietal lobe , occipital lobe and basal ganglia group difference was statistically significant ( P<0.05 ); temporal lobe group attention scores were significantly lower than the other groups, the difference was not statistically significant ( P <0.05 ) , and the temporal lobe group language proficiency rating also significantly lower than other groups , the difference was statistically significant ( P<0.05 ) .Conclusion: The incidence and characteristics of cognitive impairment is different for different parts of thecerebral infarction.