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《脑外伤患者认知障碍的特点及康复疗效分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、90ChineseJournalofRehabilitation,April2010,Vo1.25No.2·临床研究·脑外伤患者认知障碍的特点及康复疗效分析*张皓,张小年,山磊,王晓艳,孙新亭【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(L()T—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,
2、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。【关键词】脑外伤;认知障碍;康复【中图分类号】R49;R651.15[DOII10.3870/zgkf.2010.02.003TheCognitiveDisorderandEffectivenessofComprehensiveRehabilitationonPatientswithTra
3、umaticBrainInjuryzHANGHao,zHANGXiao—nian,SHANLei,eta1.DepartmentofNeurorehabilitation,BoaiHospital,cht—naRehabilitationResearchCenter,Beijing100068,China[AbstracI】Objective:Toinvestigatethecognitivedisorderandeffectivenessofcomprehensiverehabilitationonadultpatientsinthepost-
4、acutestageoftraumaticbraininjury.Methdos:TheinpatientswithtraumaticbraininjuryadmittedtoChinaReha—bilitationResearchCenterfromJan.2004toJuly2008wereenrolled.ThecognitivestatuswasevaluatedwiththeMini-MentalStatusExaminationandthe己0(cognitivesub-scale7西elanguagefunctionwasevalu
5、atedwiththeChineseAphasiaTest.Results:Comparedwithrighthemisphereimpairment,thosepatientswithlefthemisphereimpairmemweremoresevereinori—entationandthinkingoperations.Thepatientswithbilateralhemisphereimpairmentordifusebraininjuryhadoverallcognitivedisorder.Allpatientsgotobvio
6、usimprovementaftercomprehensiverehabilitation,especiallythosepatientswithleftorbilateralhemisphereimpairment.Conclusion:Thosepatientswithdifferentlocalinjuryhavedifferentcharactersofcognitivedisorder.LanguagefunctionsappeartoberelatedtomeasuresofEognitiveprogressinpatientswit
7、htraumaticbraininjury.ResultsalsoshowedtheeffectivenessofIx)st-acuteconventionalrehabilitationinimprovingcognitivefunctions.[Keywords]traumaticbraininjury;cognitivedisorder;rehabilitation脑外伤存活患者中,分别有10、66或100的例;年龄17~65岁,平均(34.3±10.7)岁;平均病程轻、中度和重度脑损伤会遗留永久的残疾口],其中认知(12.2±3.8)个月
8、;CT或MRI示左侧额叶损伤18例,障碍患者占很大部分。本文应用认知评定成套测验左侧额颞顶叶大面积损伤26例,右侧额叶损伤20例,(LO
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