中国临床心理学杂志

动脉瘤性蛛网膜下腔出血后认知功能检查及损害特点

作者：成惠林史继新

分类号：R395.3

出版年,卷(期):页码：2005,13(1):86-87

摘要：

目的:检测动脉瘤性蛛网膜下腔出血后认知功能损害的发生率及损害程度,分析SAH对认知功能的影响。方法:对37例动脉瘤性蛛网膜下腔出血病人手术前进行了认知功能检查。检查内容包括算术、数字广度、数字符号、图画填充、视觉再生、词语流畅性测验、连线测验、简易精神状态检查等内容。结果:表现有认知功能损害者26人,总的发生率为70.3%。有一项损害者14人(37.8%),二项损害及以上者12人(32.4%)。在所测验项目中,算术发生损害率为2.7%、数字广度为5.4%、数字符号为2.7%、填图项目为2.7%、视觉再生为48.6%、词语流畅性测验为(食品名称)27%和(日用品)18.9%、连线测验为(A)18.9%和(B)21.6%、MMSE为18.9%。结论:动脉瘤性蛛网膜下腔出血本身可引起认知功能损害,以图形记忆力、注意力、额叶功能损害为主。

Objective:To determine the frepuency and severity of cognitive impairments associated with aneurysmal subarachnoid hemorrhage. Methods: A series of 37 patients with aneurysmal subarachnoid hemorrhage were examined by means of a battery of cognitive tests before surgical treatment.Results: In 70.3% of the patients, one or more cognitive functions were impaired. Compared with normative data, 2.7% of patients showed impairment on arithmetic, digit symbal and picture complement respectively, 5.4% on digit span, 48.6% on Visual Reproduction, 27%(food) and 18.9% (ordinary tools) on verbal fluency test, 18.9%(part A) and 21.6% (part B) on trail-making test,、18.9% on MMSE (mini mental state examination).Conclusion: The patients have impressive cognitive deficits after aneurysmal subarachnoid hemorrhage. SAH patients were especially impaired in functions that are related to short-term memory, concentration capacity, and frontocortical functions.

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