摘要
目的探讨颅脑损伤(traumatic brain injury,TBI)后认知训练对患者运动、认知功能及日常生活活动能力(ADL)的疗效。方法将72例TBI患者随机分为实验组(n=36例)和对照组(n=36例),进行综合康复训练(PT、OT、理疗、针刺、高压氧等),实验组在上述常规康复训练的同时增加认知康复训练。于训练后2个月采用简易智能量表(Mini-mental state examination,MMSE)、运动功能评定量表(Fugl-Meyery assessment,FMA)及改良巴氏指数(modified barthel index,MBI)对患者的认知、运动和ADL进行评定。结果两组患者训练前上述各项评价指标差异无统计学意义(P>0.05),训练2个月后两组患者之间的MMSE、FMA及MBI比较差异均有高度统计学意义(P<0.01)。结论 TBI患者进行早期认知训练,可有助于提高其运动功能、生活自理能力和认知能力。
Objective To investigate the effects of cognitive training on the motion, cognitive function and ADL of TBI sufferers. Methods 72 TBI sufferers were randomly divided into the experiment group（n = 36）and the control group （n = 36）.Both groups received the comprehensive rehabilitation training （PT,OT,physiotherapy,acupuncture,High pressure oxygen treatments） , while the experiment group received extra cognitive training.After two months of training, cognitive ability, motion and ADL of all sufferers were evaluated be means of Mini-mental state examination （MMSE）, Fugl-Meyer assessment and modified Barthel index （MB1）.Results The differences of all evaluated indexes of the two groups before training had no statistical significance （P 〉 0.05）,while after 2 months of training, the dif- ferences of MMSE, FMA and MBI in the two groups were of great statistical significance （P〈 0.01）.Conclusion The early stage cogni-tive training for TBI sufferers can significantly improve their motor function, cognitive ability and ADL.
出处
《中国疗养医学》
2013年第1期10-12,共3页
Chinese Journal of Convalescent Medicine
基金
南京军区医药创新重点资助项目(09Z037)
关键词
颅脑损伤
认知训练
康复
疗效
Traumatic brain injury
Cognitive training
Comprehensive rehabilitation
Curative effect
