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1、軀體化障礙患者神經(jīng)認(rèn)知功能比較【摘要】目的：探討軀體化障礙患者神經(jīng)認(rèn)知功能障礙的特點(diǎn)。方法：對(duì)60例符合ICD-10軀體化障礙診斷標(biāo)準(zhǔn)的患者給予藥物治療8周，在治療前、后給予威斯康星卡片分類測(cè)驗(yàn)（WCST）、持續(xù)操作測(cè)驗(yàn)（CPT），同時(shí)測(cè)驗(yàn)50例正常人作為對(duì)照組?；颊呓M的測(cè)驗(yàn)結(jié)果進(jìn)行自身前后比較、并分別與正常對(duì)照組進(jìn)行組間比較。結(jié)果：患者組治療前、后WCST的總應(yīng)答數(shù)、完成分類數(shù)、持續(xù)性錯(cuò)誤數(shù)、非持續(xù)性錯(cuò)誤數(shù)自身比較，差異有統(tǒng)計(jì)學(xué)意義(P＜0.05～0.01)。患者組治療前WCST的總應(yīng)答數(shù)、完成分類
2、數(shù)、持續(xù)性錯(cuò)誤數(shù)、非持續(xù)性錯(cuò)誤數(shù)與正常對(duì)照組組間比較，差異有統(tǒng)計(jì)學(xué)意義(P＜0.01～0.001)，治療后與正常對(duì)照組組間比較，差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)?；颊呓M治療前、后CPT得分比較，在無干擾時(shí)差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)，有干擾時(shí)差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。患者組治療前CPT得分與正常對(duì)照組組間比較，在無干擾時(shí)差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)，有干擾時(shí)差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)，治療后與正常對(duì)照組比較，差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)。結(jié)論：軀體化障礙患者存在神經(jīng)認(rèn)知功能障
3、礙，但經(jīng)過治療可以改善。【關(guān)鍵詞】軀體化障礙；神經(jīng)認(rèn)知功能；威斯康星卡片分類測(cè)驗(yàn)；持續(xù)操作測(cè)驗(yàn)Comparisonofneurocognitivefunctioninpatientswithsomatizationdisorder〔Abstract〕Objective:Toexploretheneurocognitivefunctioninpatientswithsomatizationdisorder.Methods:sixtysomatizationdisorderpatientswhometth
4、eICD-10weretreatedfor8weeks,theyweremeasuredwithWisconsinCardSortingTest(WCST)andContinuousperformanceTest（CPT）beforeandaftertherapy.AndfiftyhealthypeoplesweremeasuredwithWCSTandCPTascontrolgroup.Thetestresultsofpatientsgroupwerecomparedbeforeandafterth
5、erapy,andtheywerecomparedwiththecontrolgrouprespectively.Results:Thesignificantdifferenceinthetotaltrials,numberofcompletedclassification,preservativeerrors,nor-preservativeerrorsofWCSTwereobservedbetweembeforeandaftertherapyofpatientsgroup(P＜0.05～0.01)
6、.Andthesameresultswasalsofoundbetweenpatientsgroupbefortherapyandcontrolgroup（p＜0.05）.Andnosignificantdifferencewasalsofoundbetweenpatientsgroupaftertherapyandcontrolgroup（p＞0.05）.ComparedtheCPTscoresbetweenpatientsgroupofbeforeandaftertherapy,thesignif
7、icantdifferencewasn’tfoundinnointerferestimulus(P＞0.05）,buttheycouldbefoundininterferestimulus(P＜0.05).Andthesameresultsalsobefoundbetweenpatientsgroupofbeforetherapyandcontrolgroup.Butnosignificantdifferencebetweenpatientsgroupofaftertherapyandcontrolg
8、roup(P＞0.05).Conclusion:locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame5Pati
