脑型Wilson病患者智力水平及智力结构的研究
Study on intelligence level and intelligence structure in brain type patients with Wilson's disease
李波 1王共强 1韩咏竹 1韩永升 1马心峰1
作者信息
- 1. 230061 合肥 安徽中医药大学神经病学研究所附属医院
- 折叠
摘要
目的：通过神经心理学测验评估脑型Wilson病（Wilson＇s disease，WD）患者晶体智力和流体智力水平，探讨其智力结构变化的特点及相关因素。方法选取32例脑型WD患者为研究对象，采用韦氏智力量表、瑞文标准推理测验（ R′SPM ）进行晶体智力和流体智力测评，运用SPSS 11．5软件分析患者的晶体智力、流体智力变化及相关因素。结果43．75％脑型WD患者晶体智力水平下降，78．13％脑型WD患者流体智力水平下降，瑞文标准推理测验智商（RWIQ）得分低于韦氏智力测定全量表智商（FIQ）得分（P＜0．05）；韦氏智力测定言语量表智商（VIQ）、韦氏智力测定操作量表智商（PIQ）与FIQ呈正相关（P＜0．05），瑞文标准推理测验E分测验（RWE）、性别与RWIQ呈正相关（P＜0．05），FIQ与RWIQ无相关性（P＞0．05）。结论脑型WD患者的智力结构存在不均衡受损，流体智力水平下降较晶体智力水平更为明显。流体智力和晶体智力不可相互替代。
Abstract
Objective Through conducting neuropsychological test to evaluate crystallized intelligence and fluid intelligence of brain type patients with Wilson's disease ( WD) ,to analyze the characteristics of intelligence structure changing and other related factors .Methods Wechsler intelligence test and Raven's standard progressive matrices ( R'SPM) were conducted among 32 brain type WD patients ,in order to assess crystallized intelligence and fluid intelligence .The diversities of patients crystallized intelligence , fluid intelligence and other related factors were analysed by using SPSS 11.5 software.Results 43.75%brain type WD patients showed a decrease in crystallized intelligence while 78.13%patients showed fluid intelligence drop .Moreover,Raven's standard progressive matrices intelligence quotient (RWIQ) ranking was significantly less than full measuring scale intelligence quotient (FIQ) (P<0.05),verbal intelligence quotient (VIQ) and performance intelligence quotient (PIQ )appeared significantly positive correlation (P<0.05) with FIQ.In addition,RWE,gender showed significantly positive correlation(P<0.05) with RWIQ;however,FIQ did not show any relation with RWIQ(P>0.05).Conclusion Brain type WD pa-tients'intelligence structure has unbalanced damage ,and fluid intelligence decreases more obviously than crystallized intelligence .The fluid in-telligence and crystallized intelligence cannot replace with each other .
关键词
Wilson病/肝豆状核变性/晶体智力/流体智力/相关因素Key words
Wilson's disease/Hepatolenticular degeneration/Crystallized intelligence/Fluid intelligence/Related factors引用本文复制引用
出版年
2014
NETL
NSTL
维普
万方数据