华文认知能力量表在脑卒中患者中的应用

发布时间：2018-02-05 20:10

本文关键词： 脑卒中认知功能损害卒中侧别华文认知能力量表　出处：《皖南医学院》2014年硕士论文　论文类型：学位论文

【摘要】：目的：运用华文认知能力量表研究脑卒中患者认知损害程度和不同部位脑卒中的认知损害特征，为脑卒中患者的认知康复提供依据。方法：按照病例对照研究设计，收集住院脑卒中患者79例和正常对照组34例，采用《华文认知能力量表》（CCAS）评估入组被试的认知功能，，并收集一般个人信息和临床资料。运用SPSS19.0对资料进行比较分析。结果：（1）病例组在数字广度、空间广度、图符配对、图形类推、数理运算、巧拼积木、快速组词、快速编码等各CCAS分测验测验成绩显著低于对照组（P0.05或P0.001）；在工作记忆、空间计算、加工速度、言语智商、操作智商、总智商等各因子智商成绩均显著低于对照组（P0.001）；而两组在汉词配对、言语类推、学习能力、推理能力成绩上则未见统计学差异（P0.05）。（2）脑卒中组不同卒中侧别在数字广度、言语类推、数理运算、巧拼积木、快速组词等各CCAS分测验测验成绩组间差别显著（P0.05或P0.001）；在空间计算、加工速度、言语智商、操作智商、总智商等各因子智商成绩组间差别显著（P0.05或P0.001），进一步多重两两方差分析比较显示，不同两两侧别相比在各分测验上的结果存在差异。结论：（1）脑卒中组CCAS智商、某些因子分和和分测验测验成绩显著低于正常对照组，提示脑卒中患者存在广泛的认知功能损害；（2）脑卒中并不同侧别在CCAS智商、某些因子分和分测验成绩上存在显著差异，提示不同的病变部位可能导致不同的认知功能受损。
[Abstract]:Objective: To investigate the cognitive impairment of stroke patients and cognitive impairment of different parts of stroke by using the Chinese cognitive ability scale, and provide evidence for cognitive rehabilitation of patients with stroke.
Methods: according to case-control study collected 79 cases of hospitalized stroke patients and 34 cases of normal control group, using the < > Chinese Cognitive Ability Scale (CCAS) assessment of cognitive function in subjects, and collected personal information and clinical data. Based on SPSS19.0 data were compared and analyzed.
Results: (1) cases in digit span, spatial span, symbol matching, graphical analogy, mathematical computation, collage blocks, word, etc. the rapid encoding CCAS subtest scores were significantly lower than the control group (P0.05 or P0.001); in working memory, spatial calculation, processing speed, verbal IQ. The operating factors of IQ, IQ IQ scores were significantly lower than the control group (P0.001); and the two group in Chinese word matching, verbal analogy, learning ability, reasoning ability scores are no statistically significant difference (P0.05). (2) stroke group with stroke side in digit span, verbal analogy, mathematical operation, collage blocks, word and other CCAS test scores between group difference significant (P0.05 or P0.001); in space calculation, processing speed, verbal IQ, performance IQ, IQ and other factors into the difference between group performance IQ significantly (P0.05 or P0.001), multiple two The comparison of two variance analysis shows that there are differences in the results of different two sides compared to the results of each test.
Conclusion: (1) the stroke group CCAS IQ, some factors of points and test scores were significantly lower than those in normal control group, suggesting that stroke patients have a wide cognitive function impairment; (2) stroke and different side in CCAS IQ, some factors and significant difference on test scores, suggesting that the lesion different cognitive function may lead to different damage.

【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：B842.1

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