脑卒中患者认知功能障碍与注意功能受损的关系  

Relationship between cognitive dysfunction and impaired attention function in stroke patients

作　　者：陈曦[1] 杜宁 林延敏[1] 张振燕 马军廷[1] 孙国剑[1] CHEN Xi;DU Ning;LIN Yanmin;ZHANG Zhenyan;MA Junting;SUN Guojian(Department of Rehabilitation,Liaocheng People's Hospital,Shandong Province,Liaocheng252000,China;Department of Hepatobiliary Surgery,Liaocheng People's Hospital,Shandong Province,Liaocheng252000,China)

机构地区：[1]山东省聊城市人民医院康复科,山东聊城252000 [2]山东省聊城市人民医院肝胆外科,山东聊城252000

出　　处：《中国当代医药》2024年第7期62-65,69,共5页China Modern Medicine

摘　　要：目的探讨脑卒中患者认知功能障碍与注意功能受损的关系。方法选取2021年7月至2022年3月聊城市人民医院康复科收治的30例符合入组标准的脑卒中患者作为研究对象,按照MMSE评分分为认知障碍组(15例)与非认知障碍组(15例),另选取同期的15名在该院进行健康体检的健康者作为对照组。比较三组的数字广度测试(顺背、倒背)、符号数字模式测验(SDMT)和连线测验(A和B)5项注意功能检查。结果非认知障碍组的数字广度顺背、倒背分数、符号数字模式测验以及连线测验-A的时间、连线测验-B的时间结果优于认知障碍组,差异有统计学意义(P<0.05)。对照组的数字广度顺背、倒背分数、符号数字模式测验以及连线测验-A的时间、连线测验-B的时间结果亦优于认知障碍组,差异均有统计学意义(P<0.05);非认知障碍组与对照组在数字广度顺背、连线测试-A及符号数字模式测验得分之间比较,差异无统计学意义(P>0.05),但对照组的数字广度倒背分数、连线测验-B的时间结果优于非认知障碍组,差异有统计学意义(P<0.05)。结论脑卒中患者在认知功能筛查无异常的情况下已经开始出现注意功能受损。Objective To explore the relationship between cognitive dysfunction and attention of patients with stroke patients.Methods From July 2021 to March 2022,30 stroke patients who met the inclusion criteria in the Rehabilitation Department of Liaocheng People's Hospital were selected as the research objects.According to the MMSE score,they were divided into the cognitive impairment group(15 cases)and the non cognitive impairment group(15 cases).In addition,15 healthy people who had health examination in the hospital during the same period were selected as the control group,and the digital breadth test(straight back,backward back)five attention function checks were conducted in the symbolic digit modalities test and the trail making test(A and B).Results The non cognitive impairment group showed better results in number breadth,back-to-back scores,symbol digit modalities test,and the time of trail making test A and trail making test B compared to the cognitive impairment group,with statistically significant differences(P<0.05).The control group showed better results in terms of digit breadth,back-to-back scores,symbol digit modalities test,and the time of trail making test A and trail making test B compared to the cognitive impairment group,with statistically significant differences(P<0.05).There were no statistically significant differences between the non cognitive impairment group and the control group in the scores of digit breadth backtracking,trail making test A,and symbol digit modalities test(P>0.05).However,the control group had better time results in digit breadth backtracking and trail making test B than the non cognitive impairment group,with a statistically significant differences(P<0.05).Conclusion Stroke patients have begun to appear attention to functional damage when cognitive function screening is not abnormal.

关 键 词：认知功能障碍 注意力 注意功能受损 脑卒中 

分 类 号：R741[医药卫生—神经病学与精神病学]