摘要
目的:检测不同部位脑外伤患者恢复期的认知功能障碍特点及康复治疗后的效果。方法:脑外伤恢复期患者125例,均按颅脑损伤常规治疗,并配合高压氧及康复疗法等治疗。于治疗前后通过认知评定成套测验量表(LOT-CA)对患者进行认知障碍程度评分。结果:125例患者中左侧半球损伤患者在定向和思维障碍上明显重于右侧。双侧大脑半球或弥漫性脑损伤患者认知障碍更为广泛,LOTCA测验的各个项目分普遍低于正常值。经康复治疗70d后,84例获完整资料,LOTCA总分较治疗前均有明显提高,其中左侧或双侧损伤患者提高幅度较右侧明显。结论:不同部位脑外伤患者表现出不同的认知障碍特点。传统的综合康复治疗对于脑外伤后认知障碍具有很好的疗效。
Objective： To investigate the cognitive disorder and effectiveness of comprehensive rehabilitation on adult patients in the post-acute stage of traumatic brain injury. Methdos： The inpatients with traumatic brain injury admitted to China Reha- bilitation Research Center from Jan. 2004 to July 2008 were enrolled. The cognitive status was evaluated with the Mini-Mental Status Examination and the LOTCA cognitive sub-scale. The language function was evaluated with the Chinese Aphasia Test. Results.. Compared with right hemisphere impairment, those patients with left hemisphere impairment were more severe in ori- entation and thinking operations. The patients with bilateral hemisphere impairment or diffuse brain injury had overall cognitive disorder. All patients got obvious improvement after comprehensive rehabilitation, especially those patients with left or bilateral hemisphere impairment. Conclusion： Those patients with different local injury have different characters of cognitive disorder. Language functions appear to be related to measures of cognitive progress in patients with traumatic brain injury. Results also showed the effectiveness of post-acute conventional rehabilitation in improving cognitive functions.
出处
《中国康复》
2010年第2期90-92,共3页
Chinese Journal of Rehabilitation
基金
首都医学发展科研基金(2005-3009)
关键词
脑外伤
认知障碍
康复
traumatic brain injury
cognitive disorder
rehabilitation
