面肌痉挛患者决策能力的初步研究

发布时间：2018-03-08 22:09

本文选题：面肌痉挛　切入点：决策　出处：《安徽医科大学学报》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨面肌痉挛患者在风险明确情境下的决策功能。方法采用风险明确的骰子投掷实验(GDT)对面肌痉挛患者进行决策能力评估。收纳了28例门诊诊断明确的面肌痉挛患者,并与性别、年龄、教育程度相匹配的30例健康对照组进行对比。同时完成了神经心理学背景测试,比较两组被试在这些测试的差异性。结果与健康对照组相比,面肌痉挛组存在风险明确情境下的决策功能受损,表现为面肌痉挛组净得分低于健康对照组,两组差异有统计学意义(t=-3.491,P=0.001);两组被试在GDT 4个选项中也存在差异:单个数目的组合(F=13.059,P=0.001)及3个数目的组合(F=6.599,P=0.013)的差异有统计学意义;两组被试在Stroop色词测试、数字广度(倒序)中差异无统计学意义;而两组被试在数字广度(正序)(t=-2.839,P=0.006)、词汇流畅性(t=-2.193,P=0.032)、负反馈利用率(t=-3.368,P=0.001)存在显著差异。结论面肌痉挛患者在风险明确情境下的决策功能受损,可能与执行功能及负反馈利用率受损有关。
[Abstract]:Objective to investigate the decision-making function of hemifacial spasm patients under the condition of definite risk. Methods the decision-making ability of patients with hemifacial spasm was evaluated by risk specific dice throwing experiment GDT. 28 patients with hemifacial spasm diagnosed in outpatient clinic were included. At the same time, the neuropsychological background test was completed to compare the differences between the two groups in these tests. The results were compared with those of the healthy control group. In the hemifacial spasm group, the decision-making function of the hemifacial spasm group was impaired, and the net score of the hemifacial spasm group was lower than that of the healthy control group. The difference between the two groups was statistically significant, and there was also significant difference between the two groups in the four GDT options: a single number of combinations (FU 13.059) and three numbers of combinations (F ~ (6.599) / P ~ (0.013)); the two groups were tested with Stroop color words. There was no significant difference in digit span (reverse order) between the two groups, but there were significant differences between the two groups in digit span (positive order 2.839 P0. 006, lexical fluency t0. 193 P0. 032, negative feedback utilization rate: t + 3. 368% P0. 001). Conclusion the patients with hemifacial spasm have impaired decision making function under definite risk situation. It may be related to impaired executive function and negative feedback utilization.
【作者单位】：安徽医科大学第一附属医院神经内科;安徽医科大学第一附属医院神经心理学实验室;安徽医科大学第一附属医院安徽省神经精神疾病与心理健康协同创新中心;
【基金】：国家自然科学基金(编号:91232717、31300925)
【分类号】：R745.12

【相似文献】