CAJ | 학술논문

目的研究胶质瘤患者术后注意功能损伤情况,探讨肿瘤部位、病理分级及术后恢复时间与注意功能损伤的关系. 方法应用注意网络功能测验(ANT)、注意广度测验(DS)、数字颜色连线测验Ⅱ(CTTⅡ)、Stroop词色干扰测验(ST)检测南京医科大学附属淮安第一医院神经外科自2010年1月至2012年1月收治的45例胶质瘤患者和18例健康对照者的注意功能特点,分析肿瘤部位、病理分级和术后恢复时间与注意功能损伤的关系. 结果与对照组相比,额叶肿瘤组执行网络功能下降,顶叶肿瘤组定向和执行网络功能均下降,差异有统计学意义(P＜0.05).与低级别组(Ⅰ～Ⅱ级)比较,高级别组(Ⅲ～Ⅳ级)患者DS测试中倒背评分较低、数字颜色连线时间较长,词色命名干扰值较高,差异有统计学意义(P＜0.05).而术后恢复时间不同患者DS、CTTⅡ和ST结果比较差异无统计学意义(P＞0.05). 结论额叶和顶叶胶质瘤患者术后注意功能下降,且高级别肿瘤患者集中注意力、注意转换效应及选择性注意能力较低级别患者下降.
목적 연구효질류환자술후주의공능손상정황,탐토종류부위、병리분급급술후회복시간여주의공능손상적관계. 방법 응용주의망락공능측험(ANT)、주의엄도측험(DS)、수자안색련선측험Ⅱ(CTTⅡ)、Stroop사색간우측험(ST)검측남경의과대학부속회안제일의원신경외과자2010년1월지2012년1월수치적45례효질류환자화18례건강대조자적주의공능특점,분석종류부위、병리분급화술후회복시간여주의공능손상적관계. 결과 여대조조상비,액협종류조집행망락공능하강,정협종류조정향화집행망락공능균하강,차이유통계학의의(P＜0.05).여저급별조(Ⅰ～Ⅱ급)비교,고급별조(Ⅲ～Ⅳ급)환자DS측시중도배평분교저、수자안색련선시간교장,사색명명간우치교고,차이유통계학의의(P＜0.05).이술후회복시간불동환자DS、CTTⅡ화ST결과비교차이무통계학의의(P＞0.05). 결론 액협화정협효질류환자술후주의공능하강,차고급별종류환자집중주의력、주의전환효응급선택성주의능력교저급별환자하강.
Objective To study the attention dysfunction of postoperative glioma patients.Methods Attention network test (ANT),digital span (DS),color trail test Ⅱ (CTT Ⅱ) and stroop test (ST) were used to detect the characteristics of attention function of 45 postoperative glioma patients,admitted to our hospital from January 2010 to January 2012 and 18 healthy controls.The relations of attention dysfunction with tumor localization,malignancy and postoperative recovery time were analyzed.Results As compared with that in the control group,orientation network dysfunction was detected in parietal lobe tumor group,with significant difference (P＜0.05); as compared with patients with low grade rumors (grade Ⅰ-Ⅱ),the patients with high grade tumors (grade Ⅲ-Ⅳ) had significantly lower scores in backward recite test,longer time in digital color connection test and higher word color naming interference value,enjoying significant differences (P＜0.05).No significant relation was observed between postoperative recovery time and attention impairment (P＞0.05); Conclusion The frontal and parietal lobe glioma patients suffer attention dysfunction and the high-grade glioma patients have more seriously impairment in attention,attention switching effect and selective attention ability than the low-grade ones.