腔隙性脑梗死患者的智能障碍  

Intellectual impairment of lacunar infarct

作　　者：陈湛音[1] 刘春红[2] 张桂青[2] 胡浴桓[2] 谭艺强 

机构地区：[1]广东省农垦中心医院神经科 [2]新疆石河子医学院附院神经科,石河子832008 [3]广东湛江市农垦局防疫站统计科

出　　处：《中国神经免疫学和神经病学杂志》1997年第4期216-220,共5页Chinese Journal of Neuroimmunology and Neurology

摘　　要：采用韦氏成人智力量表对186例腔隙性脑梗死患者进行测定，结果表明腔隙性脑梗死损害部位不同，其智能损害程度差异较大。左侧半球病变更易造成智能障碍，尤其左侧基底节及颞叶；多发病灶者其智能损害较单发病灶者重，单发的皮质下腔隙性梗死也可造成明显智能缺损。性别、年龄、职业与腔隙性脑梗死后引发的智能障碍无相关性，但受教育程度的高低与智能障碍的程度呈负相关。笔者认为提高国民文化素质，积极预防和治疗脑血管病，是减少和防治脑血管性痴呆发生的关键。Objective In order to explore the feature of intellectual impairment in lacunar infarct, 186 cases of lacunar infarct were investigated. Methods The intellects of patients with cranical computed tomography and MRI records of lacunar infarction were investigated by the Wechsler Adult intelligence Scale. Results and Conclusion The study of intellectual impairment of 186 patients with lacunar infarct found that the location of lacunar infarction was closely related to intellectual impairmant. The left leision easily lead to the intelligence impairment. The impairmentof intelligence of multi-infarct were more serious than that of the monoinfarct. The occupation,sex,and the age of patients were not related to the intellectual impairment. The level of educationwas negatively associated with the intellectual impairment.

关 键 词：腔隙性脑梗死 智能障碍 脑梗塞 

分 类 号：R743.33[医药卫生—神经病学与精神病学]