《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (11): 1039-1042.

• 论文 • 上一篇    下一篇

执行缺陷综合征的行为评价和威斯康星卡片分类测验在脑梗死患者执行功能评估中的应用

邢小玲,郭霞,饶颖臻,赵雅宁
  

  1. 河北联合大学校医院,河北唐山市063000。
  • 收稿日期:2012-12-17 修回日期:2012-04-07 出版日期:2013-11-25 发布日期:2013-11-25

Application of Behavioral Assessment of Dysexecutive Syndrome and Wisconsin Card Sorting Test for Executive Function Assessment in Patients with Cerebral Infarction

XING Xiao-ling, GUO Xia, RAO Ying-zhen, et al.
  

  1. Hebei United University, Tangshan 063000,Hebei, China
  • Received:2012-12-17 Revised:2012-04-07 Published:2013-11-25 Online:2013-11-25

摘要: 目的探讨执行缺陷综合征的行为评价(BADS)和威斯康星卡片分类测验(WCST)在脑梗死患者执行功能评估中的应用和特点。方法应用BADS、WCST和简易精神状况检查(MMSE)对706 例脑梗死患者进行评测。结果认知功能正常组、轻度损伤组、重度损伤组的BADS和WCST评分有显著性差异(P<0.05);不同部位脑梗死患者BADS评分无显著性差异(P>0.05),WCST评分有显著性差异(P<0.05)。结论BADS和WCST可反映脑梗死患者执行功能损伤情况;不同梗死部位对WCST有一定影响。

关键词: 脑梗死, 执行功能, 执行缺陷综合征的行为评价, 威斯康星卡片测验

Abstract: Objective To investigate the characteristics of Behavioral Assessment of Dysexecutive Syndrome (BADS) and Wisconsin Card Sorting Test (WCST) for executive function assessment in patients with cerebral infarction. Methods 706 patients with cerebral infarction were assessed with BADS, WCST and Mini-Mental State Examination (MMSE). Results There was significant difference in the scores of BADS and WCST among the patients with normal cognition, mild cognition impairment and severe cognition impairment (P<0.05). There was no significant difference in the scores of BADS among the patients with different focuses of infarction (P>0.05), but there was in the scores of WCST (P<0.05). Conclusion BADS and WCST can be used to assess the executive impairment in the patients with cerebral infarction, and the focuses may affect the outcome of WCST.

Key words: cerebral infarction, executive function, Behavioral Assessment of Dysexecutive Syndrome, Wisconsin Card Sorting Test