中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
10期
30-32
,共3页
胡崇宇%高小平%肖波%刘昕
鬍崇宇%高小平%肖波%劉昕
호숭우%고소평%초파%류흔
癫痫%认知功能%抑郁%焦虑
癲癇%認知功能%抑鬱%焦慮
전간%인지공능%억욱%초필
Epilepsy%Cognitive function%Depression%Anxiety
目的:分析部分性发作癫痫患者的认知功能损害与情绪障碍的特点。方法:对78例部分性发作癫痫患者和60例性别、年龄和教育程度匹配的正常健康对照者组,采用韦氏数字广度测验( DST)、言语流畅性测验( VFT)量表进行认知功能评估,采用抑郁自评量表( SDS)和焦虑自评量表( SAS)进行情绪状态评估,并进行分析。结果:癫痫患者组的DST评分、VFT评分均较正常组低,差异具有统计学意义(p=0.000,p=0.000);癫痫患者组SDS评分和SAS评分均较正常组高,具有统计学差异(p=0.001,p=0.001);癫痫患者中认知功能及情绪障碍相关分析显示,DST评分与VFT评分,SDS评分与SAS评分均呈显著性正相关性(p<0.01)。结论:部分性发作癫痫患者存在记忆、语言方面的认知功能损害,并且存在明显的抑郁和焦虑情绪。神经精神量表是客观的评价癫痫患者神经心理状况的方便、有效手段。
目的:分析部分性髮作癲癇患者的認知功能損害與情緒障礙的特點。方法:對78例部分性髮作癲癇患者和60例性彆、年齡和教育程度匹配的正常健康對照者組,採用韋氏數字廣度測驗( DST)、言語流暢性測驗( VFT)量錶進行認知功能評估,採用抑鬱自評量錶( SDS)和焦慮自評量錶( SAS)進行情緒狀態評估,併進行分析。結果:癲癇患者組的DST評分、VFT評分均較正常組低,差異具有統計學意義(p=0.000,p=0.000);癲癇患者組SDS評分和SAS評分均較正常組高,具有統計學差異(p=0.001,p=0.001);癲癇患者中認知功能及情緒障礙相關分析顯示,DST評分與VFT評分,SDS評分與SAS評分均呈顯著性正相關性(p<0.01)。結論:部分性髮作癲癇患者存在記憶、語言方麵的認知功能損害,併且存在明顯的抑鬱和焦慮情緒。神經精神量錶是客觀的評價癲癇患者神經心理狀況的方便、有效手段。
목적:분석부분성발작전간환자적인지공능손해여정서장애적특점。방법:대78례부분성발작전간환자화60례성별、년령화교육정도필배적정상건강대조자조,채용위씨수자엄도측험( DST)、언어류창성측험( VFT)량표진행인지공능평고,채용억욱자평량표( SDS)화초필자평량표( SAS)진행정서상태평고,병진행분석。결과:전간환자조적DST평분、VFT평분균교정상조저,차이구유통계학의의(p=0.000,p=0.000);전간환자조SDS평분화SAS평분균교정상조고,구유통계학차이(p=0.001,p=0.001);전간환자중인지공능급정서장애상관분석현시,DST평분여VFT평분,SDS평분여SAS평분균정현저성정상관성(p<0.01)。결론:부분성발작전간환자존재기억、어언방면적인지공능손해,병차존재명현적억욱화초필정서。신경정신량표시객관적평개전간환자신경심리상황적방편、유효수단。
Objective:To analysis the cognitive function and emotional state of the patients with partial epilepsy ,Methods:78 patients with partial epilepsy and 60 healthy controls with equivalent gender , age and education level were assessed by digital span test ( DST) and verbal fluency test ( VFT) of Wechsler adult intelligence scale ( WAIS) , self-rating depression scale ( SDS) , self-rating anxiety scale (SAS).Results:Digital span test was significantly lower in patients compared with controls (p=0.000, p=0.000).In verbal fluency test, the patients produce significantly less correct words than the controls (p=0.000).The scores of SDS and SAS are significantly high-er in patients compared with controls(p=0.001,p=0.001);The significant positive correlation were observed between scores of DST and VFT, the scores of SDS and SAS(P<0.01).Conclusion:The cognitive function of the partial epilepsy patients was impaired , with de-pression and anxiety as common symptoms in the patients .The neuropsychic scale might be the convenient and effective method to estimate the neuropsychic state of epilepsy patients .