《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

脑卒中发病部位和性质与注意力障碍的关系①

刘斐雯1,2，黄佳1,2，刘娇1,2，王芹1,2，林正坤1,2，俞坤强1,2，宋海燕1,2，梁小凤1,2，郑国华1,2，陶静1,2，陈立典1,2,3,4   

  1. 1.福建中医药大学康复医学院，福建福州市350122；2.福建中医药大学，福建福州市350122；3.国家中医药管理局中医康复研究中心，福建福州市350122；4.福建省康复技术重点实验室，福建福州市350122。
  • 出版日期:2016-04-25 发布日期:2016-06-01

Relationship between Injury Sites, Pathological Types and Attention in Post Stroke Cognitive Impairment

LIU Fei-wen1,2, HUANG Jia1,2, LIU Jiao1,2, WANG Qin1,2; LIN Zheng-kun1,2, YU Kun-qiang1,2, SONG Hai-yan1,2, LIANG Xiao-feng1,2, ZHENG Guo-hua1,2, TAO Jing1,2, CHEN Li-dian1,2,3,4   

  1. 1. College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China; 2. Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China; 3. Traditional Chinese Medicine Rehabilitation Research Center of SATCM, Fuzhou, Fujian 350122, China; 4. Fujian Key Laboratory of Rehabilitation Technology, Fuzhou, Fujian 350122, China
  • Published:2016-04-25 Online:2016-06-01

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摘要： 目的研究不同发病部位和性质的卒中后认知障碍(PSCI)患者注意力障碍特点。方法2014 年6 月~2015 年6 月，用注意力表现测试软件(TAP)对49 例PSCI患者在入院l 周内进行评定，观测患者完成各项测试的反应时间和反应正确个数。结果警觉度测试中，有无警告音的反应时间左侧缺血组均短于右侧缺血组(Z=-2.32, t=-3.76, P<0.05)；分散性专注力测试中，右侧缺血组听觉的正确个数多于左侧缺血组(Z=2.42, P<0.05)。不相容测试及Go/Nogo 测试中，左侧出血组反应时间组均短于右侧出血组(Z>2.32, t=-3.10, P<0.05)。结论PSCI患者病灶侧别与注意力障碍有关，但病变性质与注意力障碍关系不明显。

关键词: 脑卒中, 认知障碍, 注意力, 注意力表现测试

Abstract: Objective To study the relationship between injury site (right or left) or pathological type (hemorrhage or infarct) and attention impairment in post stroke cognitive impairment (PSCI). Methods June, 2014 to June 2015, 49 patients with PSCI were assessed with Test of Attentional Performance (TAP) within 1 week of admission. The reaction time and the numbers of correct response were recorded. Results The reaction time of alertness (with or without alarm) was shorter in the patients with left infarction (Z=-2.32, t=-3.76, P<0.05), and the correct number of auditory was more (Z=2.42, P<0.05) than those with right infarction. The reaction time of incompatibility test and Go/Nogo test was shorter in patients with left hemorrhage than those with right hemorrhage (Z>2.32, t=-3.10, P<0.05). Conclusion A trend of lateralization was found in patients with PSCI, rather than in the pathology.

Key words: stroke, cognition disorders, attention, Test of Attentional Performance