CAJ | 학술논문

目的探讨卒中患者计算和数字加工能力的自然恢复状况.方法在卒中后3周内,对病情稳定的30例患者(脑梗死2l例,脑出血9例)进行计算和数字加工能力评价,并进行为期1年的随访.分别在卒中发病后3、6和12个月时采用EC301计算和数字加工成套测验(汉语修订版)评价患者计算和数字加工能力.结果数数序列、数字理解、数字转换、数字运算和数字常识等各项目组合以及总分均随着时间推移呈现显著性增高(P均＜0.001).其中,卒中后3、6和12个月时各项目组合及总分与3周时均存在显著性差异(P均＜0.01),但这3个时间点之间并无显著性差异.脑梗死组与脑出血组总分及各项目组合得分均随着时间推移呈现显著性增高(P均＜0.001),但二者在同一时间点均无显著性差异；脑出血组总分恢复幅度与脑梗死组存在显著性差异(P=0.008).Pearson相关性分析显示,1年内所有卒中患者(r =0.452,P=0.012)以及脑梗死组(r=0.683,P=0.001)和脑出血组(r =0.250,P=0.049)计算和数字加工能力恢复幅度均与首次评价总分呈显著正相关.结论卒中后受损的计算和数字加工能力可部分自然恢复,且在发病后3个月内比较明显.脑出血患者的恢复能力可能好于脑梗死患者.卒中患者初始计算和数字加工能力损害越严重,自然恢复也越差.
목적 탐토졸중환자계산화수자가공능력적자연회복상황.방법 재졸중후3주내,대병정은정적30례환자(뇌경사2l례,뇌출혈9례)진행계산화수자가공능력평개,병진행위기1년적수방.분별재졸중발병후3、6화12개월시채용EC301계산화수자가공성투측험(한어수정판)평개환자계산화수자가공능력.결과 수수서렬、수자리해、수자전환、수자운산화수자상식등각항목조합이급총분균수착시간추이정현현저성증고(P균＜0.001).기중,졸중후3、6화12개월시각항목조합급총분여3주시균존재현저성차이(P균＜0.01),단저3개시간점지간병무현저성차이.뇌경사조여뇌출혈조총분급각항목조합득분균수착시간추이정현현저성증고(P균＜0.001),단이자재동일시간점균무현저성차이；뇌출혈조총분회복폭도여뇌경사조존재현저성차이(P=0.008).Pearson상관성분석현시,1년내소유졸중환자(r =0.452,P=0.012)이급뇌경사조(r=0.683,P=0.001)화뇌출혈조(r =0.250,P=0.049)계산화수자가공능력회복폭도균여수차평개총분정현저정상관.결론 졸중후수손적계산화수자가공능력가부분자연회복,차재발병후3개월내비교명현.뇌출혈환자적회복능력가능호우뇌경사환자.졸중환자초시계산화수자가공능력손해월엄중,자연회복야월차.
Objective To investigate the spontaneons recovery of calculation and number processing in patients with stroke.Methods Assessment of calculation and number processing were performed in 30 stroke patients with stable conditions (21 cerebral infarction and 9 cerebral hemorrhage) within 3 weeks after stroke,and they were followed up for one year.Calculation and number processing was assessed using the Revised EC301 Calculation and Number Processing Battery in Chinese version at 3,6,and 12 months after stroke onset.Results The scores in the areas of numerical sequences,numerical understanding,numerical transcoding,numerical calculation,numerical knowledge and the total scores increased significantly with the passage of time (all P ＜0.001).There were significant differences between each area and total scores at 3,6,and 12 months after stroke and those at 3 weeks (all P ＜0.01),however,there were no significant differences among the three time points.The total scores and the scores in each area increased significantly with the passage of time in the cerebral infarction group and the hemorrhage group (all P ＜0.001),however,there were no significant differences in each area at the same time point between the two groups.There was significant difference in the recovery of the total scores between the cerebral hemorrhage group and the cerebral infarction group (P =0.008).Pearson correlation analysis showed that the recovery of the calculation and number processing in all patients (R =0.452,P =0.012) as well as in the cerebral infarction group (R =0.683,P=0.001) and the cerebral hemorrhage group (R =0.250,P =0.049) within one year showed a significant positive correlation with the total score of the first assessment.Conclusions The impaired calculation and number processing may partly spontaneously recover after stoke,and it shows significant improvement within 3 months after onset.The recovery in patients with cerebral hemorrhage may be better than that in those with cerebral infarction.The more serious the impairment in initial calculation and number processing,the worse the spontaneous recovery will be.