외상성 치매와 알쯔하이머형 치매의 신경인지기능 비교 = Difference in Neurocognitive Function between the Patients with Alzheimer and Traumatic Brain Injury

국문 초록 (Abstract)

본 연구는 외상성 치매환자와 알쯔하이머형 치매 환자의 신경인지기능을 비교하고자 하였다. DSM-Ⅳ에 의해 치매로 진단된 환자들에 대하여 MMSE, SNSB을 사용하여 신경인지기능을 평가하였고 GDS, Barthel ADL, CDR을 사용하여 치매의 심각도, 우울정도, 일상생활능력을 평가하였다. 그 결과 TBI 군의 신경인지심리학적 기능은 주의집중력, 언어능력, 시공간기능, 언어 기억력 등 광범위한 인지기능 여역에서 알즈하이머형 치매 군에 비하여 저조하였으며, 단지 시각기억력과 전두엽성 인지기능 및 억제기능은 명백한 차이가 나지 않았다. 이러한 전반적인 신경인지기능의 저하는 임상적으로 병의 경과에 중요한 소견일 뿐만 아니라 환자의 삶의 질과 관련되기 때문에, 특히 노인 환자에게 더 많은 관심이 필요할 것으로 생각된다.

다국어 초록 (Multilingual Abstract)

Objectives : The aim of this study was to evaluate and compare neurocognitive function between Alzheimer's disease and traumatic brain injury(TBI).
Methods : Mini Mental State Examination(MMSE), Seoul Neuropsychological Screening Battery(SNSB), Geriatric Depression Scale(GDS), Barthel Activities of Daily Living (Barthel ADL), and Clinical Dementia Rating(CDR) was applied to compare between two groups.
Results : TBI group had significant lower score than Alzheimer group in MMSE. TBI group showed lower performance with statistical significance in attention, language and visuospatial functions. TBI group also showed significant lower ability than Alzheimer group in memory. There was no difference in Rey Complex Figure Test between two groups. There was no significant difference in frontal/executive function. TBI group showed higher score in depression, lower in living activity.
Conclusion : TBI group show significant lower performance in neurocognitive function. We should pay attention to neurocognitive function, especially in elderly patient.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 요약
• 참고문헌

참고문헌 (Reference)

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