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颈动脉内膜切除术对心理功能的影响。

The effect of carotid endarterectomy on mental functioning.

作者信息

Boeke S

出版信息

Clin Neurol Neurosurg. 1981;83(4):209-17. doi: 10.1016/0303-8467(81)90043-3.

DOI:10.1016/0303-8467(81)90043-3
PMID:6276069
Abstract

In order to ascertain the effect of carotid endarterectomy on mental functioning, carotid endarterectomy patients suffering from transient ischemic attacks (TIA) were compared preoperatively and postoperatively with cholecystectomy patients. Preoperatively, a tendency toward poorer verbal memory and greater well-being is found in carotid endarterectomy patients. Postoperatively, the overall mental functioning of the carotid endarterectomy patients is not significantly improved, though verbal fluency does show improvement. The well-being of both groups is significantly greater following operation. The complaints of the carotid endarterectomy patients during the (last) TIA had already diminished before operation and after operation remained practically on the same level. Preoperatively and postoperatively, no clear connection exists between mental functioning and age of patients in this experiment, not between mental functioning and the side of the operation. Finally, in the case of 5 patients, no long-term (4.5 months) effect of carotid endarterectomy could be indicated.

摘要

为了确定颈动脉内膜切除术对心理功能的影响,对患有短暂性脑缺血发作(TIA)的颈动脉内膜切除术患者在术前和术后与胆囊切除术患者进行了比较。术前,发现颈动脉内膜切除术患者存在言语记忆较差和幸福感较高的倾向。术后,颈动脉内膜切除术患者的整体心理功能没有显著改善,尽管言语流畅性确实有所提高。两组患者术后的幸福感都显著增强。颈动脉内膜切除术患者在(最后一次)短暂性脑缺血发作期间的主诉在手术前已经减少,术后基本保持在同一水平。在本实验中,术前和术后患者的心理功能与年龄之间没有明确的联系,心理功能与手术侧别之间也没有联系。最后,在5例患者中,未发现颈动脉内膜切除术有长期(4.5个月)效果。

相似文献

1
The effect of carotid endarterectomy on mental functioning.颈动脉内膜切除术对心理功能的影响。
Clin Neurol Neurosurg. 1981;83(4):209-17. doi: 10.1016/0303-8467(81)90043-3.
2
Intellectual function in patients with transient ischaemic attacks (TIA) or minor stroke. Long-term improvement after carotid endarterectomy.短暂性脑缺血发作(TIA)或轻度中风患者的智力功能。颈动脉内膜切除术后的长期改善情况。
Acta Neurol Scand. 1982 Aug;66(2):145-59. doi: 10.1111/j.1600-0404.1982.tb04512.x.
3
Carotid artery disease, carotid endarterectomy, and behavior.颈动脉疾病、颈动脉内膜切除术与行为
Arch Neurol. 1980 Dec;37(12):743-8. doi: 10.1001/archneur.1980.00500610023002.
4
Cerebral function before and after carotid endarterectomy.颈动脉内膜切除术前和术后的脑功能
Br Med J. 1975 Oct 25;4(5990):215-6. doi: 10.1136/bmj.4.5990.215.
5
Early neuropsychological outcome after carotid endarterectomy.颈动脉内膜切除术后的早期神经心理学转归
Eur Neurol. 1990;30(6):328-33. doi: 10.1159/000117366.
6
The long-term results of carotid endarterectomy for transient ischemic attacks.
J Vasc Surg. 1986 Dec;4(6):600-5. doi: 10.1067/mva.1986.avs0040600.
7
[Treatment of transient ischemic attack by carotid endarterectomy].[颈动脉内膜切除术治疗短暂性脑缺血发作]
Zhonghua Wai Ke Za Zhi. 1989 Dec;27(12):743-5, 781.
8
Neuropsychological changes following carotid endarterectomy.颈动脉内膜切除术后的神经心理学变化。
Can J Neurol Sci. 1981 May;8(2):127-32. doi: 10.1017/s031716710004302x.
9
[Carotid endarterectomy].[颈动脉内膜切除术]
Harefuah. 1989 Mar 1;116(5):245-7.
10
Carotid endarterectomy for nonhemispheric transient ischemic attacks.
Arch Surg. 1975 Nov;110(11):1314-7. doi: 10.1001/archsurg.1975.01360170054007.

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Neuroradiology. 2010 Jan;52(1):61-6. doi: 10.1007/s00234-009-0618-4.
2
[Effects of carotid endarterectomy on various neuropsychologic parameters. A neuropsychologic longitudinal study].[颈动脉内膜切除术对各种神经心理学参数的影响。一项神经心理学纵向研究]
Langenbecks Arch Chir. 1993;378(6):345-52. doi: 10.1007/BF01876438.