不同部位损伤对颅脑外伤患者认知功能的影响

目的：探讨不同部位损伤对颅脑外伤患者认知功能的影响，为颅脑损伤患者认知功能损害的早期诊断和治疗提供参考依据。方法：采用简易智能状态检查量表（ MMSE ）和中文版蒙特利尔认知评估量表（ MoCA）对222例颅脑外伤患者进行认知功能测评，比较不同损伤部位对认知功能的影响。结果：不同部位损伤的颅脑外伤患者认知障碍的发生率差异有统计学意义（P＜0.01），其中额叶组视空间及执行功能评分明显低于其他各组，丘脑组延迟回忆评分与顶叶、枕叶和基底节组差异有统计学意义（ P＜0.05）。而颞叶组注意力评分及语言能力评分明显低于其他各组，差异有统计学意义（ P＜0.05）。结论：不同部位脑损伤患者认知障碍的发生率及认知损害的特点不同。

A comparison study on cognitive function in patients with craniocerebral injury of different areas

Objective：To explore the cognitive function in patients with craniocerebral injury of different areas , provide a reference for the early diagnosis and treatment of cognitive impairment in patients with traumatic brain injury.Methods： 222 cases with craniocerebral injury were included in the current study , their cognitive dysfunction was evaluated with Mini-Mental State Examination （ MMSE ） and Montreal cognitive assessment scale （ MoCA） , and different effects on cognitive function were compared .Results： The difference in the incidence of the different parts of the brain trauma injury cognitive impairment in patients was significantly different （ P〈0.01） , visuospatial and executive functions of the frontal lobe group scores were significantly lower than the other groups , hypothalamus group delayed recall score and the parietal lobe , occipital lobe and basal ganglia group difference was statistically significant （ P〈0.05 ）; temporal lobe group attention scores were significantly lower than the other groups, the difference was not statistically significant （ P 〈0.05 ） , and the temporal lobe group language proficiency rating also significantly lower than other groups , the difference was statistically significant （ P〈0.05 ） .Conclusion： The incidence and characteristics of cognitive impairment is different for different parts of thecerebral infarction.