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目的探讨脑血管病患者智商(IQ)损害情况。方法用龚耀先修定的(WISCRC)智商量表对54例脑血管病患者经头颅CT或MRI检查明确病变的部位、性质、病大小分类后,观察患者智商损害的程度,特点及检测的意义并与40例头颅CT提示正常者进行对照分析。结果病患者组与对照组在年龄、性别和教育方面无显著性差异时,两组患者IQs比较有显著性差异(P<0.05)。梗死组与出血比较无显著性差异(P>0.05)。IQs的损害程度随病损范围的增大而增大,并存在显著性差异(P<0.05)。多发性腔隙性脑梗死伴脑萎缩组在本组病例中(1Q)损害最严重,它分别与脑梗死组,脑出血组比较均存在显著性差异(P<0.05),双侧半球损伤较单侧半球损伤IQs损害严重。结论脑血管病患者IQs损害是肯定的并随着病损程度的增大IQs降低。
Objective To investigate the IQ impairment in patients with cerebrovascular disease. Methods Fifty-four patients with cerebrovascular disease were examined by skull CT or MRI to determine the location, nature and size of the disease, and the degree, characteristics and detection significance of the patients’ IQ damage were analyzed using the WISCRC IQ Scale. And 40 cases of normal skull CT were analyzed. Results There was no significant difference in age, sex and education between patients and controls (P <0.05). There was no significant difference between infarction group and hemorrhage (P> 0.05). The degree of damage of IQs increased with the increase of lesion extent, and there was significant difference (P <0.05). Multiple lacunar infarction with brain atrophy group in this group (1Q) the most serious damage, which were compared with cerebral infarction group, cerebral hemorrhage group were significantly different (P <0.05), bilateral hemispheric injury more Unilateral hemisphere injury IQs serious damage. Conclusion The IQs of patients with cerebrovascular disease are affirmative and IQs decrease with the severity of the disease.