首次海马梗死患者情绪记忆变化观察  

Change of emotional memory in patients with the first hippocampal infarction

作　　者：张玉琴 李飞 陈长春 ZHANG Yuqin;LI Fei;CHEN ChangChun(AnHui No.2 Provincial People's Hospital,Hefei 230041,China)

机构地区：[1]安徽省第二人民医院

出　　处：《山东医药》2019年第36期42-45,共4页Shandong Medical Journal

基　　金：安徽省高校科学研究一般项目(ZR2019B06)

摘　　要：目的观察首次海马梗死(HI)患者情绪记忆变化。方法首次HI患者32例,记为HI组,其中左侧海马梗死16例(LHI组)、右侧海马梗死16例(RHI组),同期选取体检健康者32例,记为健康对照组。采用数字广度测试(DS)、中国简易精神状态检查量表(MMSE)测试、词汇流畅性测试(VFT)法对两组受试者进行神经心理学测试,采用正性、中性、负性情绪图片对两组受试者进行情绪记忆测试。结果HI组受试者DS、MMSE、VFT得分分别为(7.63±1.47)、(26.38±1.59)、(9.21±1.69)分,健康对照组分别为(7.83±1.29)、(26.77±1.36)、(10.20±1.77)分,其中HI组受试者VFT得分与健康对照组相比,P<0.05。HI组受试者正性、中性、负性效价度评分分别为(4.27±0.25)、(3.17±0.26)、(1.23±0.23)分,健康对照组分别为(4.70±0.47)、(3.27±0.27)、(1.70±0.24)分,其中HI组受试者正性、负性效价度评分与健康对照组相比,P均<0.05;LHI组受试者正性、中性、负性效价度评分分别为(4.13±0.27)、(3.18±0.21)、(1.40±0.31)分,RHI组分别为(4.40±0.26)、(3.16±0.18)、(1.13±0.35)分,其中LHI组受试者正性、负性效价度评分与RHI组相比,P均<0.05。HI组受试者正性、中性、负性图片再认正确得分分别为(9.72±2.10)、(7.03±1.26)、(8.84±1.17)分,健康对照组分别为(13.03±1.65)、(7.53±1.27)、(10.66±1.79)分,其中HI组受试者正性、负性图片再认正确得分与健康对照组相比,P均<0.05;LHI组受试者正性、中性、负性图片再认正确得分分别为(8.50±1.46)、(6.75±1.31)、(9.31±1.08)分,RHI组分别为(10.25±2.14)、(7.31±1.45)、(8.38±1.09)分,其中LHI组受试者正性、中性图片再认正确得分与RHI组相比,P均<0.05。结论首次HI患者语义词汇流畅性、情绪记忆受损,正性、负性情绪图片再认正确得分降低;左侧HI对情绪图片记忆的影响更大。Objective To observe the changes of emotional memory in patients with the first hippocampal infarction(HI).Methods Digital breadth test(DS),Chinese simple mental state examination scale(MMSE)and vocabulary flu ency test(VFT)were used in 32 patients with first HI and 32 healthy control participants who were matched in age and ed ucation level.And the subjects of the two groups were tested in emotional memory by positive,neutral and negative emo tional pictures.Results The DS,MMSE and VFT scores of subjects in the HI were 7.63±1.47,26.38±1.59 and 9.21±1.69,and those in the healthy control participants were 7.83±1.29,26.77±1.36 and 10.20±1.77,and VFT score of HI was lower than that of healthy control participants(P<0.05).The positive,neutral and negative titer scores of subjects in the HI were 4.27±0.25,3.17±0.26 and 1.23±0.23,while those in the healthy control participants were 4.70±0.47,3.27±0.27 and 1.70±0.24,respectively.The positive and negative titer scores of the HI group were lower than those of the healthy control group(all P<0.05).The positive,neutral and negative titer scores of subjects in the LHI were 4.13±0.27,3.18±0.21,and 1.40±0.31,in the RHI were 4.40±0.26,3.16±0.18,and 1.13±0.35.The positive and negative titer scores of LHI were lower than those of RHI(all P<0.05).The recognition scores of positive,neutral and negative emotional images in the HI were 9.72±2.10,7.03±1.26,and 8.84±1.17,while those in the healthy control participants were 13.03±1.65,7.53±1.27,and 10.66±1.79.The recognition scores of positive and negative emotional images in the HI were lower than those of the healthy control participants(all P<0.05).The recognition scores of positive,neutral and negative emotional images in the LHI were 8.50±1.46,6.75±1.31,and 9.31±1.08,while those in the RHI were 10.25±2.14,7.31±1.45,and 8.38±1.09.The recognition scores of positive and neutral emotional images in the LHI were lower than those of the RHI(all P<0.05).Conclusions The vocabulary fluency and emotional memory

关 键 词：海马梗死 情绪记忆 情绪记忆测试 情绪图片 神经心理学测试 

分 类 号：R743.3[医药卫生—神经病学与精神病学]