Department of Physical Medicine and Rehabilitation, The University of Texas Medical School-Houston Memorial Hermann Hospital, Houston, TX 77030, USA.
Clin Neuropsychol. 2010 Jan;24(1):57-69. doi: 10.1080/13854040902984505. Epub 2009 Jun 24.
The validity of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was evaluated in a sample of acute ischemic stroke patients. A total of 164 ischemic stroke patients with anterior fossa lesions were divided into groups according to lesion laterality (left, right, or bilateral) and location (cortical versus subcortical) as determined by CT and/or MRI findings. The hypotheses for this study were: (1) that left hemispheric stroke patients would perform better than their counterparts on the Visuospatial/Constructional and Attention Indexes; (2) that right hemisphere stroke patients would outperform their counterparts on the Immediate Memory, Delayed Memory, and Language Indexes; (3) that patients with subcortical lesions would outperform those with cortical lesions on the Language, Immediate Memory, and Delayed Memory indexes; and (4) that patients with cortical lesions would outperform those with subcortical lesions on the Attention and Visuospatial/Constructional Indexes. A multivariate analysis of variance (MANOVA) disclosed significant main effects for both lesion side and location, with no location by side interaction. Group comparisons of the five RBANS index scores disclosed modest effects for side of lesion, with right hemisphere patients outperforming those with left sided and bilateral lesions on the Immediate and Delayed Memory, and Language Index Scores. Right hemisphere stroke patients also outperformed left and bilateral lesion patients on the Attention Index. The left hemisphere patients outperformed the right hemisphere and bilateral patients on the Visuospatial/Constructional Index. The effect for location was significant only for the Visuospatial/Constructional Index where the subcortical patients outperformed the cortical patients.
重复神经心理状态评估量表（RBANS）的有效性在一组急性缺血性脑卒中患者中进行了评估。共有 164 例前颅窝病变的缺血性脑卒中患者根据 CT 和/或 MRI 检查结果，按照病变侧别（左、右或双侧）和病变部位（皮质或皮质下）分为几组。本研究的假设是：（1）左侧半球卒中患者在视空间/结构和注意力指数上的表现优于其对照组；（2）右侧半球卒中患者在即刻记忆、延迟记忆和语言指数上的表现优于其对照组；（3）皮质下病变患者在语言、即刻记忆和延迟记忆指数上的表现优于皮质病变患者；（4）皮质病变患者在注意力和视空间/结构指数上的表现优于皮质下病变患者。多变量方差分析（MANOVA）显示，病变侧和病变部位均有显著的主效应，且无病变部位与侧别的相互作用。对五个 RBANS 指数得分的组间比较显示，病变侧别存在中等程度的影响，右侧半球患者在即刻记忆、延迟记忆和语言指数得分上优于左侧和双侧病变患者。右侧半球卒中患者在注意力指数上也优于左侧和双侧病变患者。左侧半球患者在视空间/结构指数上的表现优于右侧和双侧病变患者。病变部位的影响仅在视空间/结构指数上显著，皮质下病变患者的表现优于皮质病变患者。
