軀体化障碍患者神经认知功能比较.docVIP

躯体化障碍患者神经认知功能比较 【摘要】 目的： 探讨躯体化障碍患者神经认知功能障碍的特点。方法： 对60例符合ICD - 10躯体化障碍诊断标准的患者给予药物治疗8周，在治疗前、后给予威斯康星卡片分类测验（WCST）、持续操作测验（CPT），同时测验50例正常人作为对照组。患者组的测验结果进行自身前后比较、并分别与正常对照组进行组间比较。结果： 患者组治疗前、后WCST的总应答数、完成分类数、持续性错误数、非持续性错误数自身比较，差异有统计学意义(P＜0.05～0.01)。患者组治疗前WCST的总应答数、完成分类数、持续性错误数、非持续性错误数与正常对照组组间比较，差异有统计学意义(P＜0.01～0.001)，治疗后与正常对照组组间比较，差异无统计学意义(P＞0.05)。患者组治疗前、后CPT 得分比较，在无干扰时差异无统计学意义(P＞0.05)，有干扰时差异有统计学意义(P＜0.05)。患者组治疗前CPT 得分与正常对照组组间比较，在无干扰时差异无统计学意义(P＞0.05)，有干扰时差异有统计学意义(P＜0.05)，治疗后与正常对照组比较，差异无统计学意义(P＞0.05)。结论： 躯体化障碍患者存在神经认知功能障碍，但经过治疗可以改善。 【关键词】躯体化障碍；神经认知功能； 威斯康星卡片分类测验；持续操作测验 Comparison of neurocognitive function in patients with somatization disorder 〔Abstract〕 Objective To explore the neurocognitive function in patients with somatization disorder . Methods: sixty somatization disorder patients who met the ICD-10 were treated for 8 weeks, they were measured with Wisconsin Card Sorting Test (WCST) and Continuous performance Test（CPT）before and after therapy. And fifty healthy peoples were measured with WCST and CPT as control group .The test results of patients group were compared before and after therapy, and they were compared with the control group respectively. Results: The significant difference in the total trials, number of completed classification, preservative errors, nor-preservative errors of WCST were observed betweem before and after therapy of patients group (P＜0.05～0.01). And the same results was also found between patients group befor therapy and control group（p＜0.05）. And no significant difference was also found between patients group after therapy and control group（p＞0.05）Compared the CPT scores between patients group of before and after therapy, the significant difference wasn’t found in no interfere stimulus( P＞0.05）same results also be found between patients group of before therapy and control group. But no significant difference between patients group of after therapy and control group(P＞0.05). Conclusion: Patients with somatization disorder have