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目的:通过对脑卒中患者行为记忆能力的测查,为了解脑卒中患者记忆能力障碍提供客观依据,同时探讨病变部位及病程对其行为记忆能力的影响。方法:用Rivermead行为记忆检查对38例脑卒中患者及38例正常人进行测查。结果:(1)脑卒中患者的行为记忆能力较正常对照组有明显障碍(P<0.01)。(2)无论病灶是在皮层还是在皮层下,均可引起患者行为记忆障碍,而皮层损伤者其障碍较皮层下更明显(P<0.05)。(3)病程对脑卒中患者的行为记忆能力有影响,病程超过1年者其行为记忆能力低下更明显(P<0.01)。(4)脑卒中患者工具性日常生活活动能力与行为记忆能力呈显著正相关(P<0.01)。结论:Rivermead行为记忆检查可作为脑卒中患者行为记忆障碍的客观指标,脑卒中患者行为记忆能力受到损害
OBJECTIVE: To investigate the behavioral memory of stroke patients and to provide an objective basis for understanding the impairment of memory ability in stroke patients. At the same time, the effect of lesion site and course on the behavioral memory ability was also discussed. METHODS: 38 patients with stroke and 38 normal controls were tested with Rivermead behavioral memory test. Results: (1) The behavioral memory of patients with stroke was significantly lower than that of the normal control group (P <0.01). (2) Patients with behavioral dysfunctions could be induced whether the lesions were in the cortex or in the cortex, while the cortical lesions were more obvious than those in the cortex (P <0.05). (3) The course of disease has an impact on the behavioral memory ability of patients with stroke, and the behavioral memory ability is more obvious when the duration of disease is over 1 year (P <0.01). (4) There was a significant positive correlation between instrumental activities of daily living and behavioral memory in patients with stroke (P <0.01). Conclusion: Rivermead behavioral memory test can be used as an objective indicator of behavioral memory impairment in stroke patients, impaired in behavioral memory in patients with stroke