脑囊虫病患者记忆障碍的临床研究  

Clinical observation of memory impairment in patients with cereberal cysticercosis

作　　者：王忠磊[1] 李士根[2] 寇景轩[1] 董小红[1] 毛德华[1] 

机构地区：[1]山东省寄生虫病防治研究所,济宁272033 [2]济宁医学院

出　　处：《中华行为医学与脑科学杂志》2010年第7期607-608,共2页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的 探讨脑囊虫病患者记忆障碍的特点,分析其相关影响因素.方法 选择腩囊虫病患者62例,并以年龄、性别、文化程度及职业相匹配的53例健康者为对照组,采用临床记忆量表甲套进行记忆功能测定,比较两组记忆成绩,观察对比脑囊虫病患者左右两侧病灶组对不同记忆的影响.结果 脑囊虫病患者在指向记忆[（12.29±7.41）分]、联想学习[（15.37±7.29）分]、图像自由回忆[（11.37±7.35）分]、无意义图形再认[（17.72±6.27）分]、人像特点联系回忆[（14.28±6.79）分]分测验及记忆商成绩[（71.04±19.4）分]与正常对照组比较各项差异极为显著（P〈0.01）,其中以指向记忆与图像自由回忆分项成绩最低;脑囊虫病患者左侧病灶组及右侧病灶组对不同的记忆内容比较具有显著差异（P〈0.05～0.01）,且左侧病灶组以联想学习成绩最低,右侧病灶组以无意义图形再认成绩最低.结论 脑囊虫病患者能引起记忆障碍,左侧病灶组及右侧病灶组对不同记忆障碍有明显的差异.Objective To investigate the characteristics of memory impairment in patients with cereberal cysticercosis and analyze its influence factors. Methods 62 patients with cereberal cysticercosis and S3 normal controls by age, gender, education and occupation using accepted the Clinical Memory Test. Memory score was compared to observe the contrast to patients with cerebral cysticercosis lesions in the left and right groups in different from memory effects. Results There were significant lowering in pointing memory（ 12. 29 ±7.41） ,association learning（15.37 ±7.29） ,free picture recall（ 11.37 ±7. 35）,insignificant figure recognition（ 17.72 ±6.27）,portrait character association recall（14.28 ± 6.39 ） and memory quotients（71.04 ± 19.48） when that of the normal controls（P〈0. 01 ） , pointing memory and free picture recall were the lowest among the five items. There were some significant differences between patients with cerebral cysticercosis in the left and the right of lesion group a-bout different memory contents（P〈0.05 ～0.01）, and association learning was the lowest in the left lesion group, insignificant figure recognition was the lowest in the right lesion group. Conclusion Cereberal cysticercosis could cause memory impairment. There were some significant differences between the left and the right lesion group about different memory impairment.

关 键 词：脑囊虫病 记忆障碍 记忆量表 

分 类 号：R532.33[医药卫生—内科学]