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目的观察左、右两侧基底神经节区脑血管病变所致记忆障碍的特点。方法选取左侧基底神经节区脑血管病变患者(A组)和右侧基底神经节区脑血管病变患者(B组)各50例为观察对象,应用修订的韦氏成人记忆量表对患者进行全面记忆功能检查,记录各项粗分及量表分,计算记忆商数并进行统计分析,确定记忆功能障碍类型。结果 A组患者的记忆障碍以语文记忆障碍为主、B组患者的记忆障碍以非语文记忆障碍为主,A组的记忆障碍以短时记忆障碍为主、B组的记忆障碍以图形、视觉空间记忆障碍为主。结论左侧基底神经节区脑血管病变患者的记忆功能改变明显,主要影响与语文相关的记忆功能,提示左侧基底神经节区在记忆方面存在偏侧化优势;右侧基底神经节区脑血管病变患者的图形、视觉空间记忆损害更明显,提示右侧基底神经节区与右侧大脑半球一样在视空间功能方面占优势。
Objective To observe the characteristics of memory impairment caused by cerebrovascular disease in the basal ganglia in left and right sides. Methods Fifty patients with cerebrovascular disease in left basal ganglia (group A) and patients with right basal ganglia (group B) were selected as the observational subjects. The patients were treated with a revised Wechsler adult memory scale Comprehensive memory function check, record each of the rough points and scale points, calculate the quotient of memory and statistical analysis to determine the type of memory dysfunction. Results The memory impairment in group A was mainly language memory disorder. The memory impairment in group B was mainly non-linguistic memory impairment. The memory impairment in group A was mainly short-term memory impairment. The memory impairment in group B was mainly based on the pattern and vision Space memory disorders. Conclusions The changes of memory function in patients with left basal ganglia and cerebrovascular lesions are obviously changed, which mainly affect the language-related memory function, which indicates that left basal ganglia area has the advantage of lateralization in memory. Right basal ganglia area cerebrovascular Lesions in patients with graphics, visual spatial memory damage more obvious, suggesting that the right basal ganglia area and the right hemisphere, the same as in the spatial function of the dominant.