完全性脊髓损伤患者的情绪及认知行为分析

doi:10.3969/j.issn.1006-9771.2023.05.013

Abstract

Abstract:

Objective To investigate the mood states, cognitive performance and the factors related to cognitive function of patients with complete spinal cord injury.

Methods A total of 60 male patients with complete spinal cord injury (SCI) admitted to Beijing Bo'ai Hospital from November, 2020 to March, 2022 were selected as SCI group, and 30 healthy males were selected as the control group. They were assessed with Montreal Cognitive Assessment Beijing Version (MoCA), Digital Span Test (DST) of Wechsler Memory Scale, Symbol Digit Modalities Test-Oral Version (SDMT), Rey-Osterrieth Complex Figure Test-30 min recall (CFT), Stroop Color-Word Test Chinese Version (CWT), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD).

Results Compared with the control group, the SDMT and CFT scores were significantly lower (t > 3.052，P< 0.01); the reflect and square root transformation of MoCA score, the square root transformation of Stroop interference effects time consuming, HAMA score and HAMD score were higher (|t|> 2.542, |Z|> 7.676, P< 0.05) in SCI group. Multiple linear regression analysis indicated that age, education level, HAMD score and sleep disorder were significantly correlated with the scores of cognitive function in SCI group.

Conclusion There are more intensive anxiety and depression in patients with complete SCI. The patients with complete SCI present cognitive impairment, especially in information processing speed, visuospatial ability and visual memory, and executive function. Age, education level, depression and sleep disorder are the related factors of cognitive impairment in patients with complete SCI.

Key words: complete spinal cord injury, mood, cognitive performance, related factors

CLC Number:

R651.2

JIANG Le, DU Liangjie, HUANG Fubiao. Mood states and cognitive performance in patients with complete spinal cord injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 576-581.

Figures/Tables 4

References 40

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项目	对照组 (n = 30)	脊髓损伤组(n = 60)	t/χ²值	P值
年龄/岁	41.63±8.46	39.80±9.75	0.877	0.383
文化程度/年	11.77±3.73	11.68±3.72	0.100	0.921
睡眠障碍/n			7.330	0.007
否	23	28
是	7	32

项目	对照组(n = 30)	脊髓损伤组(n = 60)	t/Z值	P值
MoCA评分(反向平方根)	1.81±0.52	2.12±0.55	-2.542	0.013
DST	14.07±2.86	13.15±2.13	1.552	0.128
SDMT	62.43±10.60	54.33±12.44	3.052	0.003
CFT	27.13±5.48	19.38±6.34	5.717	< 0.001
SIE耗时(平方根)	4.05±0.63	4.84±0.79	-4.787	< 0.001
SIE正确数	0.00(0.00, 0.00)	0.00(-1.00, 0.00)	-1.869	0.062
HAMA	7.00(5.75, 9.25)	21.00(16.50, 23.00)	-7.676	< 0.001
HAMD	7.00(5.00， 10.25)	23.00(18.25, 26.00)	-7.700	< 0.001

项目	MoCA(反向平方根)			SDMT			CFT			SIE耗时(平方根)
项目	B值	t值	P值	B值	t值	P值	B值	t值	P值	B值	t值	P值
年龄^a	0.021	3.110	0.003	-0.573	-3.828	< 0.001	-0.185	-2.264	0.027	0.035	3.626	0.001
文化程度^a	-0.054	-2.966	0.004	1.328	3.299	0.002	0.533	2.514	0.015	-0.085	-3.331	0.002
病程分期^b	-	0.766	0.447	-	-0.329	0.743	-	0.700	0.487	-	1.145	0.257
损伤节段^b	-	0.500	0.619	-	-0.780	0.439	-	-1.177	0.244	-	0.774	0.442
HAMA^a	0.026	1.352	0.182	-0.311	-0.711	0.480	0.055	0.243	0.809	0.046	1.708	0.093
HAMD^a	0.047	3.504	0.001	-0.854	-2.734	0.008	-0.189	-1.132	0.262	0.051	2.571	0.013
睡眠障碍^b	-	-2.120	0.038	-	2.982	0.004	-	3.078	0.003	-	-3.934	< 0.001
药物^b	-	0.152	0.880	-	-0.295	0.769	-	-0.484	0.630	-	-1.212	0.230
神经痛^b	-	-0.306	0.761	-	0.497	0.621	-	0.015	0.988	-	-0.502	0.617

项目	MoCA(反向平方根)			SDMT			CFT			SIE耗时(平方根)
项目	B值	t值	P值	B值	t值	P值	B值	t值	P值	B值	t值	P值
年龄	0.014	2.190	0.033	-0.410	-2.945	0.005	-0.121	-1.537	0.130	0.024	2.794	0.007
文化程度	-0.039	-2.340	0.023	0.981	2.723	0.009	0.443	2.175	0.034	-0.064	-2.935	0.005
HAMD	0.034	2.484	0.016	-0.363	-1.236	0.222	0.087	0.523	0.603	0.012	0.696	0.490
睡眠障碍	0.104	0.782	0.438	-6.033	-2.119	0.039	-4.562	-2.837	0.006	0.576	3.327	0.002

Mood states and cognitive performance in patients with complete spinal cord injury

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