CAJ | 학술논문

目的：探讨执行缺陷综合征的行为评价(BADS)和威斯康星卡片分类测验(WCST)在脑梗死患者执行功能评估中的应用和特点。方法应用BADS、WCST和简易精神状况检查(MMSE)对706例脑梗死患者进行评测。结果认知功能正常组、轻度损伤组、重度损伤组的BADS和WCST评分有显著性差异(P<0.05)；不同部位脑梗死患者BADS评分无显著性差异(P>0.05)，WCST评分有显著性差异(P<0.05)。结论 BADS和WCST可反映脑梗死患者执行功能损伤情况；不同梗死部位对WCST有一定影响。
목적：탐토집행결함종합정적행위평개(BADS)화위사강성잡편분류측험(WCST)재뇌경사환자집행공능평고중적응용화특점。방법응용BADS、WCST화간역정신상황검사(MMSE)대706례뇌경사환자진행평측。결과인지공능정상조、경도손상조、중도손상조적BADS화WCST평분유현저성차이(P<0.05)；불동부위뇌경사환자BADS평분무현저성차이(P>0.05)，WCST평분유현저성차이(P<0.05)。결론 BADS화WCST가반영뇌경사환자집행공능손상정황；불동경사부위대WCST유일정영향。
Objective To investigate the characteristics of Behavioral Assessment of Dysexecutive Syndrome (BADS) and Wisconsin Card Sorting Test (WCST) for executive function assessment in patients with cerebral infarction. Methods 706 patients with cerebral infarc-tion were assessed with BADS, WCST and Mini-Mental State Examination (MMSE). Results There was significant difference in the scores of BADS and WCST among the patients with normal cognition, mild cognition impairment and severe cognition impairment (P<0.05). There was no significant difference in the scores of BADS among the patients with different focuses of infarction (P>0.05), but there was in the scores of WCST (P<0.05). Conclusion BADS and WCST can be used to assess the executive impairment in the patients with cerebral in-farction, and the focuses may affect the outcome of WCST.