CAJ | 학술논문

目的探讨脑梗死后患者认知功能障碍与焦虑抑郁的关系，为促使其神经功能恢复提供科学依据。方法以某三级甲等医院在2014年2月~2015年3月收治的118例脑梗死患者为研究组，同期选取118例非脑梗死者为对照组。分别采用韦氏成人智力量表（ WAIS）、汉密尔顿焦虑量表（ HAMA）、汉密尔顿抑郁量表（ HAMD）对患者进行认知功能测定、焦虑和抑郁测定。结果脑梗死组不同程度认知功能障碍组WAIS、HAMA和HAMD评分分别为：轻度（84.13±21.89）分、中度（80.20±20.41）分、重度（81.12±20.49）分、焦虑（11.89±1.68）分、抑郁（12.29±3.02）分；正常组分别为：轻度（102.25±16.24）分、中度（98.87±9.21）分、重度（101.39±13.11）分、焦虑（6.39±1.21）分、抑郁（6.38±1.01）分，两组比较差异均有统计学意义（ P﹤0.05）。结论脑卒中患者存在焦虑抑郁症状和认知功能障碍，二者可能相互影响相互作用。
목적탐토뇌경사후환자인지공능장애여초필억욱적관계，위촉사기신경공능회복제공과학의거。방법이모삼급갑등의원재2014년2월~2015년3월수치적118례뇌경사환자위연구조，동기선취118례비뇌경사자위대조조。분별채용위씨성인지역량표（ WAIS）、한밀이돈초필량표（ HAMA）、한밀이돈억욱량표（ HAMD）대환자진행인지공능측정、초필화억욱측정。결과뇌경사조불동정도인지공능장애조WAIS、HAMA화HAMD평분분별위：경도（84.13±21.89）분、중도（80.20±20.41）분、중도（81.12±20.49）분、초필（11.89±1.68）분、억욱（12.29±3.02）분；정상조분별위：경도（102.25±16.24）분、중도（98.87±9.21）분、중도（101.39±13.11）분、초필（6.39±1.21）분、억욱（6.38±1.01）분，량조비교차이균유통계학의의（ P﹤0.05）。결론뇌졸중환자존재초필억욱증상화인지공능장애，이자가능상호영향상호작용。
Objective To investigate the relationship ketween cognitive dysfunction and emotional disorder after cerekral infarc=tion,and to provide scientific kasis for the recovery of neurological function. Methods 118 patients with cerekral infarction received in our hospital as okservation group,118 cases of normal control group. By Wechsler Adult Intelligence Scale( WAIS),Hamilton Anx=iety Scale( HAMA)and the Hamilton Depression Scale( HAMD)on the patients of cognitive function determination,determination of affective disorder,and the indicators of CT measurement. Results Cerekral infarction group cognitive impairment is the result of de=termination:mild(84. 13 ± 21. 89),moderate(80. 20 ± 20. 41)severe(81. 12 ± 20. 49)with profound,anxiety was(11. 89 ± 1. 68), depression(12. 29 ± 3. 02). Normal cognitive impairment group determination results:mild(102. 25 ± 16. 24),moderate(98. 87 ± 9.21),severe(101.39 ±13.11)with profound,anxiety is(6.39 ±1.21),depression(6.38 ±1.01);the differences were significant(P﹤0. 05). Conclusion There were emotional disorders and cognitive dysfunction in strode patients,which might affect the interaction.