CAJ | 학술논문

目的：探讨重度颅脑损伤患者简易精神状态检查(MMSE)评分的特点，分析年龄、损伤侧、损伤部位等因素对MMSE总分和各分项评分的影响。方法67例重度脑外伤患者，记录患者一般资料，并采用MMSE进行评分，分析结果。结果患者在回忆、定向、计算、书写与绘图方面平均得分相对较低，而在命名、记忆、复述、理解方面得分相对较高。45~65岁患者在MMSE总分和空间定向、阅读方面得分低于18~44岁患者(P<0.05)。与基底节损伤相比，额叶损伤在时间定向、空间定向、记忆和计算得分上有显著性差异(P<0.05)；额颞顶叶损伤在MMSE总分、时间定向、空间定向、计算和绘图得分上有显著性差异(P<0.05)。结论 MMSE可以在一定程度上反映脑外伤患者的认知障碍程度，年龄和损伤部位会影响患者的认知障碍程度。
목적：탐토중도로뇌손상환자간역정신상태검사(MMSE)평분적특점，분석년령、손상측、손상부위등인소대MMSE총분화각분항평분적영향。방법67례중도뇌외상환자，기록환자일반자료，병채용MMSE진행평분，분석결과。결과환자재회억、정향、계산、서사여회도방면평균득분상대교저，이재명명、기억、복술、리해방면득분상대교고。45~65세환자재MMSE총분화공간정향、열독방면득분저우18~44세환자(P<0.05)。여기저절손상상비，액협손상재시간정향、공간정향、기억화계산득분상유현저성차이(P<0.05)；액섭정협손상재MMSE총분、시간정향、공간정향、계산화회도득분상유현저성차이(P<0.05)。결론 MMSE가이재일정정도상반영뇌외상환자적인지장애정도，년령화손상부위회영향환자적인지장애정도。
Objective To investigate the influence of age, injury side and injury area on Mini-Mental State Examination (MMSE) scores. Methods General data of 67 patients with severe traumatic brain injury were recorded, and they were assessed with MMSE. Results The scores were low in recalling, orientation, calculation, writing and drawing, while they were high in naming, memorizing, reiteration and comprehension. The total MMSE scores and the scores of space orientation and reading were lower in 45~65 years old patients than in 18~44 years old patients (P<0.05). There was significantly difference in time orientation, space orientation, recalling and calculation between basal ganglia injury and front lobes injury (P<0.05), as well as in total MMSE scores, time orientation, space orientation, calculation and drawing between basal ganglia injury and front, temporal and parietal lobes injury (P<0.05). Conclusion MMSE scores do reflect cognitive impairment in patients with traumatic brain injury, the specific age and injury area of the brain can influence the cognitive impairment in pa-tients.