产后女性前瞻性记忆损害的神经心理学研究

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摘要目的：研究产后女性前瞻性记忆（PM）成分（EBPM、TBPM）改变的情况，探讨妊娠对PM的影响。方法：建立PM检测的神经心理学方法和相关背景测试方法，对教育程度、年龄等相匹配的30例健康未生育女性和30例自然分娩后1周内初产妇进行PM、回顾性记忆（RM）测试和总体认知评估。结果：对照组EBPM和TBPM得分（7.60±0.67、5.93±0.25）与产妇组得分（6.00±0.83、5.33±0.76）比较，差异均有统计学意义（t=8.19、4.11，P＜0.01）。与对照组RM1和RM2得分（5.83±1.53、5.63±0.56）比较，产妇组得分（5.80±1.63、5.53± 0.57）差异均无统计学意义（t=0.08、0.69，P＞0.05）。产妇组TBPM损伤指数0.00（-0.17，0.00）与EBPM损伤指数-0.25（-0.38，-0.13）比较差异有统计学意义（Z=-2.38，P＜0.05）。结论：产后女性存在PM为主的记忆损害，且EBPM损害更明显。

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	陈奎
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关键词 ：初产妇, 妊娠, 前瞻性记忆, 神经心理学测验

Abstract：Objective: To investigate the changes of prospective memory components (EBPM and TBPM ) in postpartum women, and explore the effect of pregnancy on prospective memory. Methods: A neuropsychological test for prospective memory and related background tests. PM, RM test and general cognitive assessment were performed on 30 healthy women with proper age, education and 30 cases of primary parturients one week after natural childbirth. Results: The score of EBPM, TBPM in the parturient group was significantly lower than that of the normal control group (6.00±0.83, 5.33±0.76 vs. 7.60±0.67, 5.93±0.25, P<0.01). There was no significant difference in RM score between two groups (5.80±1.63, 5.53±0.57 vs. 5.83±1.53, 5.63±0.56, P>0.05). There was statistical significance in the damage index of EBPM and TBPM [0.00 (-0.17, 0.00) vs. -0.25 (-0.38, -0.13), P<0.05]. Conclusion: Postpartum women suffer from impaired memory, particularly from prospective memory, and more obvious damage is found in EBPM.

Key words： primary parturients pregancy prospective memory neuropsychological tests

收稿日期: 2018-07-05

通讯作者: 袁良津，主任医师，Email：aqslylj@126.com。

作者简介: 陈奎（1990-），男，安徽阜阳人，硕士生。

链接本文:

https://xb.wmu.edu.cn/CN/ 或 https://xb.wmu.edu.cn/CN/Y2018/V48/I11/846

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