【摘要】 目的观察中型颅脑外伤患者的认知功能状况,初步探讨影响认知功能相关因素。方法对37例中型颅脑外伤患者和20名健康对照者进行韦氏成人智力量表中国修订本(WAIS-RC)和记忆量表测定。结果中型颅脑外伤患者全表智商(full intelligence quotient,FIQ)、言语智商(verbal intelligence quotient,VIQ)、操作智商(perfor mance intelligence quotient,PIQ)及记忆商(memoryquotient,MQ)均明显低于健康对照者(P<0.01);年龄≥40岁PIQ影响无差异(P>0.05),MQ、VIQ、FIQ有显著差异(P<0.05);康复治疗与非康复治疗组对照有显著差异(P<0.05);外伤性癫痫与无癫痫发作组对照有显著差异(P<0.05);性别、是否开颅手术两因素无显著差异(P>0.05)。结论中型颅脑外伤患者存在认知功能障碍,年龄、外伤性癫痫、康复治疗是影响认知功能的相关因素,康复治疗和控制外伤性癫痫能改善认知功能。更多还原

【Abstract】 Objective To observe the cognitive function of the moderate traumatic brain injury patients,to explore the related factors that Influence cognitive function.Methods 37 moderate traumatic brain injury patients and 20 Healthy controls were evaluated with The Wechsler Adult Intelligence Scale Revised in China(WAIS-RC) and Memory Scale Determination.Results Moderate traumatic brain injury patients’ FIQ,VIQ,PIQ and MQ significantly lower than healthy controls’;The effects to the pelple’s that the age greater than or equal to 40 years old PIQ had no significant difference(P>0.05),and had significant difference in MQ,VIQ,FIQ(P<0.05);Rehabilitation therapy group and control of non-rehabilitation group were significantly different(P<0.05);Traumatic epilepsy group and no epilepsy group were significantly different(P<0.05);The two factors: gender and whether having craniotomy had no significant difference(P>0.05).Conclusions moderate traumatic brain injury patients exist Cognitive dysfunction,Age,traumatic epilepsy,rehabilitation therapy are the related factors that influence cognitive function,rehabilitation therapy and controlling traumatic epilepsy can make the cognitive function better.更多还原