重度颅脑创伤恢复期简易精神状态检查及影响因素的研究  

Study on Mini-Mental State Examination and Its Influence Factors of Severe Traumatic Brain Injury

作　　者：刘剑 张小年[2,3] 张慧丽[2,4] 张皓[2,3] 迟茜茜[2,3] 张欣[2,3] 王荣荣[2,3] 王晓艳[2,3] 

机构地区：[1]煤炭总医院康复医学科,北京市100028 [2]首都医科大学康复医学院,北京市100068 [3]中国康复研究中心北京博爱医院神经康复三科,北京市100068 [4]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》2014年第4期367-370,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金课题项目(No.2013CZ-41)

摘　　要：目的：探讨重度颅脑损伤患者简易精神状态检查（MMSE）评分的特点，分析年龄、损伤侧、损伤部位等因素对MMSE总分和各分项评分的影响。方法67例重度脑外伤患者，记录患者一般资料，并采用MMSE进行评分，分析结果。结果患者在回忆、定向、计算、书写与绘图方面平均得分相对较低，而在命名、记忆、复述、理解方面得分相对较高。45~65岁患者在MMSE总分和空间定向、阅读方面得分低于18~44岁患者（P＜0.05）。与基底节损伤相比，额叶损伤在时间定向、空间定向、记忆和计算得分上有显著性差异（P＜0.05）；额颞顶叶损伤在MMSE总分、时间定向、空间定向、计算和绘图得分上有显著性差异（P＜0.05）。结论 MMSE可以在一定程度上反映脑外伤患者的认知障碍程度，年龄和损伤部位会影响患者的认知障碍程度。Objective To investigate the influence of age, injury side and injury area on Mini-Mental State Examination （MMSE） scores. Methods General data of 67 patients with severe traumatic brain injury were recorded, and they were assessed with MMSE. Results The scores were low in recalling, orientation, calculation, writing and drawing, while they were high in naming, memorizing, reiteration and comprehension. The total MMSE scores and the scores of space orientation and reading were lower in 45~65 years old patients than in 18~44 years old patients （P〈0.05）. There was significantly difference in time orientation, space orientation, recalling and calculation between basal ganglia injury and front lobes injury （P〈0.05）, as well as in total MMSE scores, time orientation, space orientation, calculation and drawing between basal ganglia injury and front, temporal and parietal lobes injury （P〈0.05）. Conclusion MMSE scores do reflect cognitive impairment in patients with traumatic brain injury, the specific age and injury area of the brain can influence the cognitive impairment in pa-tients.

关 键 词：颅脑创伤 认知障碍 简易精神状态检查 康复 

分 类 号：R651.1[医药卫生—外科学]