脑外伤后综合征患者执行功能的研究  

A Study of Executive Functions in Patients with Post-concussion Syndrome

作　　者：张训[1] 彭彪[1] 秦明筠[1] 罗冬冬[1] 成友军[2] 邹文锦[2] 王金伟[2] 赵海林[1] 

机构地区：[1]广州医科大学附属肿瘤医院神经外科,广东广州510095 [2]广州市脑科医院神经外科,广东广州510370

出　　处：《中国医药指南》2013年第18期7-9,共3页Guide of China Medicine

基　　金：广州市医药卫生科技项(编号:20121A10009)

摘　　要：目的探讨脑外伤后综合征患者的执行功能特点,为临床工作提供理论依据。方法纳入40名脑外伤后综合征患者和20名正常对照者,应用言语流畅性测验(动物)、威斯康星卡片分类测验(WSCT)、汉诺塔(TOH)对受试者进行执行功能评定,对两组执行功能的差异进行相关分析。结果脑外伤后综合征患者组言语流畅总数、WSCT分类数、WSCT总错误数、WSCT持续错误数、TOH平均执行时间、TOH总分显著差于正常对照组,差异有统计学意义(P<0.05)。而言语流畅重复数和TOH平均计划时间两组相比较差异无统计学意义(P>0.05)。结论脑外伤后综合征患者的执行功能明显受损,这可能是脑外伤后综合征患者工作和学习能力下降的原因之一。Objective To explore the features of executive functions of patients with post-concussion syndrome. Methods The study was conducted in 40 patients with post-concussion syndrome and 20 normal controls. They were evaluated executive functions by verbal fluency test（animal）, Wisconsin Card Sorting Test（WSCT） and Tower of Hanoi（YOH）. Results Compared with normal controls, the patients with post-concussion syndrome were significantly impaired in total scores of verbal fluency, categories, total errors and persistent errors of WSCT, total score and mean executive time of TOH（P〈0.05）. The repeats of verbal fluency and mean planning time of TOH have no difference in two groups（P〉0.05）. Conclusions The executive functions is impaired in patients with post-concussion syndrome. It is one of the reason for decreased learning and working ability.

关 键 词：脑外伤后综合征 执行功能 威斯康星卡片分类测验 汉诺塔 

分 类 号：R651.15[医药卫生—外科学]