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目的探讨脑梗塞患者智能损害的特点及梗塞部位对智能的影响．方法采用书氏成人智力量表（ＷＡＩＳ－ＲＣ），时４８例脑梗塞、４３例正常人测定和比较分析，并对梗塞部位与智能损害进行对照Ｒ研究．结果脑梗塞智能测验各项成绩明显低于对照组（Ｐ＜０．０１），左侧梗塞低于右侧梗塞，皮层梗塞明显低于皮层下梗塞（Ｐ＜０．０１）。结论脑梗塞可引起明显的智能障碍，但以左侧为重，尤其对语言表达、抽象思维影响更为明显．皮层梗塞较皮层下梗塞时智能损害更为显著．
Objective To investigate the characteristics of intellectual impairment in patients with cerebral infarction and the effect of infarction on intelligence. Methods The adult schizoaffects scale (WAIS-RC), 48 cases of cerebral infarction, 43 cases of normal people were measured and compared, and the control R study was performed on infarction site and intelligence impairment. Results The score of intelligence test of cerebral infarction was significantly lower than that of the control group (P <0.01). The left infarction was lower than the right infarction and the cortical infarction was significantly lower than that of the subcortical infarction (P <0.01). Conclusion Cerebral infarction can cause obvious mental retardation, but the left is the most important, especially for language expression and abstract thinking. Cortical infarction is more noticeable when compared with cerebral infarction.