脑损伤后注意障碍的评定  

Assessment of Attention Deficit Following Brain Injury

作　　者：王科英[1] 恽晓平[2] 张丽君[1] 何小花[1] 李艳[1] 隋晓亮[1] 戴文晋[1] 

机构地区：[1]大庆油田总医院康复科,黑龙江大庆市163001 [2]中国康复研究中心北京博爱医院康复评定科,北京市100068

出　　处：《中国康复理论与实践》2010年第6期578-581,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的对脑损伤(脑外伤、脑卒中)后注意障碍进行评定。方法采用多类型注意测验(持续作业测验、Stroop字色干扰任务、连线测验B及同步序列听觉加法测试)从不同维度对26例脑损伤患者(脑损伤组)和30例正常人(正常组)进行评定;整理各项数据进行统计学处理。结果脑损伤组与正常组的注意测验评分存在显著性差异(P<0.05);脑损伤组中脑外伤与脑卒中的注意测验评分无显著性差异(P>0.05)。结论脑损伤患者注意功能可表现为持续、选择、分配及转移性注意障碍;脑损伤后注意障碍临床表现不受病因的影响,与损伤部位密切相关。Objective To evaluate the attentional ability following brain injury.Methods 26 patients with brain injury including traumatic brain injury（TBI） and stroke,and 30 normal volunteers were randomly selected.Different attention tests（Continuous Performance Test,Stroop Color-Word Interference Test,Trail Making Test and Paced Auditory Serial Addition Task） were applied to assess the attentional ability of the patients and normal volunteesrs.Then the data were sorted out before statistical analysis was performed.Results There was significant difference between the normal and brain injury groups in scores（P〈0.05）.There was no significant difference between TBI and stroke in scores（P〉0.05）.Conclusion The multiple aspects of attention deficit existed in the patients with brain injury,including sustained attention,selective attention,divided attention and attentional switching.Clinical manifestations of attention deficit after traumatic brain injury and stroke is closely related with the injury site.

关 键 词：注意障碍 评定 脑损伤 

分 类 号：R742[医药卫生—神经病学与精神病学]