威斯康星卡片分类测验用于颅脑损伤者认知功能障碍鉴定

目的 探讨威斯康星卡片分类测验(Wisconsin Card Sorting Test,WCST)对颅脑损伤者认知功能障碍鉴定的应用价值.方法 对186例颅脑外伤要求鉴定的患者(实验组)和180例健康志愿者(对照组)分别进行WCST和中国修订版韦氏成人智力量表(Wechsler Adult Intelligence S...

Evaluating on recognition impairment after traumatic brain injury with WCST

Objective To explore the value of Wisconsin Card Sorting Test（WCST） in evaluating the recognition impairment after traumatic brain injury（TBI）.Methods WCST and Wechsler Adult Intelligence Scale Revised in China（WAIS-RC） were adopted to assess the cognitive function in 186 patients with brain injury（experimental group） and 180 healthy volunteers（control group）,respectively.The cognition between the experimental group and the control group was compared.The correlation between WCST and IQ was analyzed.The correlation between age,education level,the severity of TBI and the executive function were also analyzed.Results（1） The performances of WAIS-RC and WCST in the experimental group were significantly worse than that of the control group.（2） There were significantly negative correlation between the performance of total errors,percentage of preservative errors,percentage of random errors,response number on first category and IQ（P0.05）.While there were significantly positive correlation between the categories completed,percentage of conceptual level and IQ（P0.05）.（3） There was significantly negative correlation between percentage of conceptual level and the severity of TBI.While there were significantly positive correlation between percentage of preservative errors,percentage of random errors,response number on first category and the severity of TBI.Conclusion WCST could be an important method in evaluating cognition of patients with brain injury.