CAJ | 학술논문

目的探讨不同梗死部位脑卒中患者执行功能和自我效能的情况.方法选取基底节区、顶枕叶区、额叶区、其他部位梗死患者各80例,以同期在该医院进行体格检查的健康人80名为对照组.对所有对象应用威斯康星卡片测验系统(WCST)、画钟实验(CDT)、Zung 抑郁自评量表(SDS)、Zung 焦虑自评量表(SAS)、一般自我效能量表(GSES)进行评测.结果不同部位脑卒中患者 WCST 各项评分和 CDT 评分、GSES 得分均差于对照组(P<0.05);病例组组间比较显示,额叶区和基底节区卒中组 WCST 中的4项及 CDT、GSES 评分均差于顶枕叶区和其他部位卒中组(P<0.05).各组间 SDS 和 SAS 评分无显著性差异(P>0.05).结论脑梗死可造成患者执行功能障碍和自我效能水平降低,以额叶区和基底节区损伤患者最为明显.
목적탐토불동경사부위뇌졸중환자집행공능화자아효능적정황.방법선취기저절구、정침협구、액협구、기타부위경사환자각80례,이동기재해의원진행체격검사적건강인80명위대조조.대소유대상응용위사강성잡편측험계통(WCST)、화종실험(CDT)、Zung 억욱자평량표(SDS)、Zung 초필자평량표(SAS)、일반자아효능량표(GSES)진행평측.결과불동부위뇌졸중환자 WCST 각항평분화 CDT 평분、GSES 득분균차우대조조(P<0.05);병례조조간비교현시,액협구화기저절구졸중조 WCST 중적4항급 CDT、GSES 평분균차우정침협구화기타부위졸중조(P<0.05).각조간 SDS 화 SAS 평분무현저성차이(P>0.05).결론뇌경사가조성환자집행공능장애화자아효능수평강저,이액협구화기저절구손상환자최위명현.
@@@@Objective To investigate the influence of infarction location on the executive function and self-efficacy of patients with isch-emic stroke. Methods 320 patients with cerebral infarction at basal ganglia, parietal-occipital lobe, frontal lobe and other areas (80 cases re-spectively) and 80 healthy people were assessed with Wisconsin Card Sorting Test (WCST), Clock Drawing Test (CDT), Self-rating Depres-sion Scale (SDS), Self-Rating Anxiety Scale (SAS) and General Self-efficacy Scale (GSES). Results The scores of WCST, CDT and GSES were significantly worse in the patients than in the controls, especially in those with infarction at frontal lobe and basal ganglia. There was no significant difference in scores of SDS and SAS among all the subjects (P>0.05). Conclusion There are executive function and self-effi-cacy impairment in ischemic stroke patients, especially for those with the focus at frontal lobe and basal ganglia.