老年脑梗塞与记忆障碍研究  

A study on senile cerebral infarction and memorial impairment.

作　　者：张世贵[1] 李义召[2] 潘心海[1] 付绍玉 刘悦圣 李宪利[1] 

机构地区：[1]山东省临朐县人民医院,262600 [2]山东医科大学附属医院

出　　处：《中国神经精神疾病杂志》1997年第2期68-70,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：探讨老年脑梗塞与记忆障碍的关系。　　方法　选择 40例老年脑梗塞病人作试验组 ,以 3 0例正常老年人作对照组 ,用临床记忆量表检测。　　结果　 ( 1 )试验组各项记忆成绩均明显低于对照组 ;( 2 )左侧梗塞者联想学习成绩低于右侧者 ,而无意义图形再认成绩右侧低于左侧 ;( 3 )皮层与皮层下梗塞均可致记忆障碍 ,但前者影响更为显著 ;( 4)单灶与多灶梗塞相比 ,除无意义图形再认与人像特点联系回忆外 ,其余成绩后者均低于前者 ;( 5)高血压病史 >5年、合并甲状腺功能亢进、合并糖尿病或脑梗塞发病次数≥ 2次者 ,其记忆商数均明显降低 ,但合并心脏病者无显著差异。结论　老年脑梗塞有明显记忆障碍 。Objective The relationship between senile cerebral infarction ( CI) and memorial impairment was studied. Methods The memorial performances were tested with 'clinical Memorial Test' in 40 senile patients with CI and 30 normal aged people (control group). Results (1) All memorial performanes were obviously lower in patients with CI than in control group. (2) The memorial performance of paired-association learning was lower in the patients with left-sided CI than in the ones right-sided CI. (3) Both cortical and subcortical CI could result in memorial impairment. However the former showed more impairment. (4) The memorial performances of all subtests, except for two subtests, were lower in multifocal infarction patients than in the single-focal. (5) The memorial quotients were significantly lower in the patients associated with hypertension for over 5 years, hyperthyroidism, diabetes mellitus or repeated CI attacks. However CI patients with heart diseased did not show the same pattern. Conclusions There were significant memorial impairments with different characteristics in senile CI.

关 键 词：老年 脑梗塞 记忆障碍 

分 类 号：R743.330.6[医药卫生—神经病学与精神病学] R749.13[医药卫生—临床医学]