脑型Wilson病患者智力水平及智力结构的研究
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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。
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 patients' intelligence structure has unbalanced damage,and fluid intelligence decreases more obviously than crystallized intelligence. The fluid intelligence and crystallized intelligence cannot replace with each other.
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 patients' intelligence structure has unbalanced damage,and fluid intelligence decreases more obviously than crystallized intelligence. The fluid intelligence and crystallized intelligence cannot replace with each other.
引文
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[10]杨海晨,李映萍,盛璐,等.儿童瑞文标准推理测验与韦氏智力测验比较研究[J].中国行为医学科学,2005,14(5):466-467.
[11]张厚粲,王晓平.瑞文标准推理测验在我国的修订[J].心理学报,1989,46(2):113-120.
[2]胡文彬,吴舒梅,杨金鹏,等.非脑型肝豆状核变性成人患者智商测定结果分析[J].安徽医学,2009,30(2):97-100.
[3]王共强,胡文彬,胡纪源.Wilson病的神经心理功能障碍[J].医学研究杂志,2011,40(1):147-149.
[4]Sternlie B.Perspectives on Wilson's disease[J].Hepatology,1990,12(5):1234-1239.
[5]龚耀先.修订韦氏成人智力量表手册[M].长沙:湖南地图出版社,1992:1-188.
[6]龚耀先,蔡太生.韦氏儿童智力量表修订本(C-WISC)[M].长沙:湖南地图出版社,1993:187-210.
[7]张厚粲,王晓平.瑞文标准推理测验手册(中国城市修订版)[M].北京:北京师范大学出版社,1985:1-60.
[8]Carpenter PA,Just MA,Shell P.What one intelligence test measures:a theoretical account of the processing in the Raven Progressive Matrices test[J].Psychol Rev,1990,97(3):404-431.
[9]杨海晨,李映萍,盛璐,等.成人瑞文标准推理测验与韦氏智力测验比较研究[J].中国民康医学,2007,19(2):96-97.
[10]杨海晨,李映萍,盛璐,等.儿童瑞文标准推理测验与韦氏智力测验比较研究[J].中国行为医学科学,2005,14(5):466-467.
[11]张厚粲,王晓平.瑞文标准推理测验在我国的修订[J].心理学报,1989,46(2):113-120.