| 多发性脑梗塞患者智能障碍与病变关系的研究 |
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| 引用本文： | 孟家眉,孟琛.多发性脑梗塞患者智能障碍与病变关系的研究[J].中华内科杂志,1994,33(5):322-326. |
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| 作者姓名： | 孟家眉 孟琛 |
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| 作者单位： | 首都医学院宣武医院 |
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| 摘 要： | １９９１～１９９２年间收集了由ＣＴ证实有２个以上脑梗塞病灶的患者２４０例，作系列神经心理学量表检查，其中４２．９２％有智能障碍。对比分析智能障碍发生与否与病史、脑梗塞灶的定位、体积、是否伴发皮层萎缩或皮层下变性影像学检查结果的关系。采用多元回归和因子分析等统计学方法，提示梗塞灶病变在智能障碍的发生中并不居首要地位，因此建议以缺血性或血管性痴呆取代通常称为多梗塞性痴呆。
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| 关 键 词： | 脑梗塞 痴呆 |
A STUDY ON THE RELATION BETWEEN CEREBRAL LESION AND COGNITIVE DEFECT IN MULTI-INFARCT PATIENTS |
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| Meng Jia-mei,Meng Chen, Yang Pei-jie,et al..A STUDY ON THE RELATION BETWEEN CEREBRAL LESION AND COGNITIVE DEFECT IN MULTI-INFARCT PATIENTS[J].Chinese Journal of Internal Medicine,1994,33(5):322-326. |
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| Authors: | Meng Jia-mei Meng Chen Yang Pei-jie |
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| Institution: | Meng Jia-mei,Meng Chen, Yang Pei-jie, et al.The Capital Medical Colleng of Beijing,Xuanwu Hospital,100053 |
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| Abstract: | 240 cases of collectee successively from 1991 to 1992.42.92% of them were shown to have cognitive defect with a se- ries of neuropsychological tests.Correlation of the occurrence of cognitive defect with the CT findings such as the location and extent of focal lesions as well as the presence ofcerebral atrophy or subcortical degeneration were carried out. According to the results by multiple regression and factor analysis,the location and extent of the focal infarct lesions were not the primary detennining factor for the occurence of cognitive defect.It is, therefore,suggested that the term of ischemic or vascular dementia be used clinically instead of the so-called multi- infarct dementia. |
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| Keywords: | Cerevral infarction Dementia |
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