CAJ | 학술논문

目的：研究脑梗死患者早期运动功能障碍与认知功能和情绪之间的关系。方法：收集自2011年5月～2014年5月于我院就诊的脑梗死患者78例，用上肢功能评定表（ DASH）、10m步行速度、认知评估量表（ MoCA）、焦虑自评量表（ SAS）、抑郁自评量表（ SDS）进行评定；比较患者弥散张量成像（ DTI）相关参数：各向异性分数（ FA）值、表观扩散系数（ ADC）和FA指数、ADC指数，并与认知和情绪评估结果进行相关性分析。结果：DASH评分和10m步行速度与MoCA、SAS、SDS评分无相关性（ P＞0．05）；患侧和健侧内囊后肢的FA值均与SDS评分呈负相关（P＜0．05）。结论：脑梗死患者早期运动障碍与情绪和认知功能无相关性，而梗死灶所致的神经网络缺损则与情绪相关。
목적：연구뇌경사환자조기운동공능장애여인지공능화정서지간적관계。방법：수집자2011년5월～2014년5월우아원취진적뇌경사환자78례，용상지공능평정표（ DASH）、10m보행속도、인지평고량표（ MoCA）、초필자평량표（ SAS）、억욱자평량표（ SDS）진행평정；비교환자미산장량성상（ DTI）상관삼수：각향이성분수（ FA）치、표관확산계수（ ADC）화FA지수、ADC지수，병여인지화정서평고결과진행상관성분석。결과：DASH평분화10m보행속도여MoCA、SAS、SDS평분무상관성（ P＞0．05）；환측화건측내낭후지적FA치균여SDS평분정부상관（P＜0．05）。결론：뇌경사환자조기운동장애여정서화인지공능무상관성，이경사조소치적신경망락결손칙여정서상관。
Objective:To analyze the relationship between motor dysfunction with cognitive function and mood among patients with a-cute cerebral infarction. Methods:Collected 78 cases patients with cerebral infarction, use upper limb function assessment table (DASH), 10m walking speed, Cognitive Assessment (MoCA), Self -Rating Anxiety Scale (SAS), Self -Rating Depression Scale ( SDS) to assess;comparison of patients with diffusion tensor imaging ( DTI) parameters:fractional anisotropy ( FA) values, and the ap-parent diffusion coefficient ( ADC) and FA index, ADC index, then correlation analysis and assessment of cognitive and emotional.Re-sults:DASH score and 10m walking speed had no correlation with MoCA, SAS, SDS scores (P>0.05);FA values in the ipsilateral and contralateral handers were negatively correlated (P<0.05) with SDS sorce.Conclusion:Cerebral infarction movement disorders might have no correlation with mood and cognitive function, while the infarct-induced defects in patients with neural networks should be associ-ated with emotions.