CAJ | 학술논문

目的：比较非优势半球与优势半球颞叶脑梗塞的患者焦虑、抑郁症状的差别。方法将符合临床脑梗塞诊断的患者行头颅MRI检查，符合单一病灶仅累及颞叶的患者32名，优势半球颞叶脑梗塞的16名，非优势半球颞叶脑梗塞的16名。入院后均进入脑梗塞临床路径治疗，入院后两天分别完善汉密尔顿焦虑量表、汉密尔顿抑郁量表，然后使用SPSS16.0比较两组患者的得分差别。结果两组脑梗塞患者的量表评分均高于正常，且非优势半球HAMA分值（17.1±2.2）明显低于优势半球的分值（23.6±4.3），其差异具有统计学意义（P＜0.05）。非优势半球HAMA分值（18.8±4.7）明显低于优势半球的分值（25.9±5.3），其差异具有统计学意义（P＜0.05）。结论非优势半球颞叶脑梗塞均出现明显的焦虑、抑郁症状，但比优势半球脑梗塞出现的症状轻，临床上不能忽视非优势半球的脑梗塞患者的情绪状态。
목적：비교비우세반구여우세반구섭협뇌경새적환자초필、억욱증상적차별。방법장부합림상뇌경새진단적환자행두로MRI검사，부합단일병조부루급섭협적환자32명，우세반구섭협뇌경새적16명，비우세반구섭협뇌경새적16명。입원후균진입뇌경새림상로경치료，입원후량천분별완선한밀이돈초필량표、한밀이돈억욱량표，연후사용SPSS16.0비교량조환자적득분차별。결과량조뇌경새환자적량표평분균고우정상，차비우세반구HAMA분치（17.1±2.2）명현저우우세반구적분치（23.6±4.3），기차이구유통계학의의（P＜0.05）。비우세반구HAMA분치（18.8±4.7）명현저우우세반구적분치（25.9±5.3），기차이구유통계학의의（P＜0.05）。결론비우세반구섭협뇌경새균출현명현적초필、억욱증상，단비우세반구뇌경새출현적증상경，림상상불능홀시비우세반구적뇌경새환자적정서상태。
Objective To compare patients without anxiety and depression symptoms and dominant hemisphere dominant hemisphere temporal lobe cerebral infarction differences. Methods will be consistent with the MRI diagnosis of cerebral infarction in patients with clinical brain, con-sistent with single lesion only involved temporal lobe in 32 patients, the dominant hemisphere temporal lobe cerebral infarction 16, non domi-nant hemisphere temporal lobe cerebral infarction 16. All patients were entered into the clinical pathway in treatment of cerebral infarction, two days after admission respectively improve Hamilton anxiety scale, Hamilton depression scale, and then use the SPSS16.0 score difference of two groups of patients. Results the two groups of patients with cerebral infarction scale score were higher than normal, and the non dominant hemi-sphere HAMA score (17.1+2.2) was significantly lower than that of the dominant hemisphere score (23.6+4.3), with statistical difference (P<0.05). The non dominant hemisphere HAMA score (18.8+4.7) was significantly lower than that of the dominant hemisphere score (25.9+5.3), with statistical difference (P<0.05). Conclusion the non dominant hemisphere temporal lobe cerebral infarction appeared anxiety, depressive symptoms significantly, but the ratio of dominant hemisphere cerebral infarction appeared mild symptoms, patients with cerebral infarction clinical cannot ignore the emotional state of the non dominant hemisphere.