颅脑损伤部位与智力评估分析

发布时间：2018-08-04 15:27

【摘要】：目的探讨颅脑损伤部位与智力损伤的关系。方法315例颅脑外伤者根据疾病诊断分成8组:蛛网膜下腔出血组、脑震荡组、硬膜外血肿组、硬膜下血肿组、颞叶损伤组、额叶损伤组、顶叶损伤组、枕叶损伤组、广泛性损伤组和其他组,按中国修订韦氏成人智力量表进行测试,分析性别、年龄、文化程度、损伤部位与智商水平的关系。结果颅脑外伤后的平均总智商(FIQ)为64.45±16.09。性别对颅脑外伤后的智商水平影响不明显(P=0.578);老年颅脑外伤后的智商水平较青年和中年高(P0.01);文盲者颅脑外伤后的智商水平较文化程度高者低(P0.01)。各组智商水平高低为:其他组蛛网膜下腔出血组、脑震荡组硬膜外血肿组、硬膜下血肿组颞叶损伤组、额叶损伤组、顶叶损伤组、枕叶损伤组广泛性损伤组。同时左额叶损伤组的智商水平较右额叶损伤组低;右颞叶损伤组的操作智商(PIQ)明显比左颞叶损伤组低,而言语智商(VIQ)则反之(P0.01)。结论颅脑外伤后的智力损伤与损伤部位密切相关。
[Abstract]:Objective to investigate the relationship between brain injury site and intellectual injury. Methods 315 patients with craniocerebral trauma were divided into 8 groups: subarachnoid hemorrhage group, concussion group, epidural hematoma group, subdural hematoma group, temporal lobe injury group, frontal lobe injury group, parietal lobe injury group, occipital injury group. The Wechsler Adult Intelligence scale was revised in China to analyze the relationship between gender, age, education level, location of injury and intelligence quotient (IQ) in the extensive injury group and other groups. Results the average total intelligence quotient (FIQ) after craniocerebral trauma was 64.45 卤16.09. Gender had no significant effect on the intelligence quotient after brain injury (P0. 578), the intelligence quotient after brain injury in the elderly was higher than that in the youth and middle age (P0.01), and the IQ level in the illiterate group was lower than that in the educated group (P0.01). The IQ levels of each group were as follows: other subarachnoid hemorrhage group, cerebral concussion group epidural hematoma group, subdural hematoma group temporal lobe injury group, frontal lobe injury group, parietal lobe injury group, occipital injury group extensive injury group. At the same time, the IQ level of the left frontal lobe injury group was lower than that of the right frontal lobe injury group, and the (PIQ) of the right temporal lobe injury group was significantly lower than that of the left temporal lobe injury group, while the speech intelligence quotient (VIQ) was not the same (P0.01). Conclusion the intellectual injury after craniocerebral trauma is closely related to the location of the injury.
【作者单位】：皖南医学院心理学系;皖南医学院法医学系;
【分类号】：D919

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