Moretti G, Rizzi C, D'Ambrosio E, Nonis E, Bompani R, De Donno L, Quartucci G, Manzini A
Acta Biomed Ateneo Parmense. 1981;52(5):217-24.
110 elderly patients, 57 with and 53 without acquired neurological lesions, were examined for the presence of the grasping, snout, sucking, palmomental, glabellar and bulldog reflexes. The results were statistically analyzed by means of the chi2 method. The percentages of the positive reflex responses, although not negligible in the neurologically healthy patients, turned out far higher in the patients with organic cerebral disorders. With the exception of the sucking and palmomental reflexes, these differences appeared statistically significant. As for the neurological diagnosis, diffuse lesions proved themselves more crucial than focal ones. The conclusion is drawn that primitive reflexes should be regarded abnormal only in the context of an overt cerebral pathology.
对110名老年患者进行了检查,其中57名患有后天性神经病变,53名没有,检查内容包括抓握反射、噘嘴反射、吸吮反射、掌颏反射、眉间反射和犬吠反射。采用卡方检验法对结果进行统计学分析。在神经功能正常的患者中,阳性反射反应的百分比虽不可忽略,但在患有器质性脑部疾病的患者中却高得多。除吸吮反射和掌颏反射外,这些差异具有统计学意义。至于神经学诊断,弥漫性病变比局灶性病变更为关键。得出的结论是,原始反射只有在明显的脑部病变背景下才应被视为异常。