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[1]董晓敏,吴立红,李爱萍,等.早期不同频度的康复训练对创伤性颅脑损伤患者认知及运动功能的影响[J].医学研究与战创伤救治(原医学研究生学报),2013,15(04):340-342.[doi:10.3969/j.issn.1672-271X.2013.04.007]
　DONG Xiao-ming,WU Li-hong,LI Ai-ping,et al.The effect of different frequency rehabilitation treatment on the cognitive and motor function at early period after traumatic brain injury[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(04):340-342.[doi:10.3969/j.issn.1672-271X.2013.04.007]
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早期不同频度的康复训练对创伤性颅脑损伤患者认知及运动功能的影响()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年04期
页码:
340-342
栏目:
出版日期:
2013-08-05

文章信息/Info

Title:
The effect of different frequency rehabilitation treatment on the cognitive and motor function at early period after traumatic brain injury
作者:
董晓敏; 吴立红; 李爱萍; 林建强; 娄 坤
310007 浙江杭州,南京军区杭州疗养院全军创伤康复中心
Author(s):
DONG Xiao-ming; WU Li-hong; LI Ai-ping; LIN Jian-qiang; LOU Kun
The Trauma Rehabilitation of PLA,Hangzhou Sanatorium of Nanjing Military Region,Hangzhou,Zhejiang 310007,China
关键词:
创伤性颅脑损伤;  认知功能;  运动功能;  康复
Keywords:
traumatic brain injury;  cognitive function;  motor function;  rehabilitation
分类号:
R651.15
DOI:
10.3969/j.issn.1672-271X.2013.04.007
文献标志码:
A
摘要:
目的 探讨早期不同频度的康复训练对创伤性颅脑损伤(TBI)患者认知及运动功能的疗效影响。方法 将78例TBI根据康复治疗的频度随机分为康复1组(康复训练1次/d)38例和康复2组(康复训练2次/d)40例。两组均采用内科常规治疗,康复训练、针灸等综合康复治疗,共治疗2个月。于治疗前、康复1个月、2个月后分别采用运动功能评定量表(Fugl-Meyer,FMA)、功能独立性测评量表(functional independence measure,FIM)、简明精神量表(Mini-mental state examination,MMSE)进行认知及运动功能评估。结果 两组康复治疗后1个月、2个月的MMSE、FIM、FMA的各项评分均有显著提高(P<0.01),且改善程度康复2组优于康复1组(P<0.05)。结论 早期系统正规的康复治疗有利于TBI患者认知功能和运动功能的康复,且早期介入适量频度的康复治疗更能促进功能的全面恢复。
Abstract:
Objective To observe the effect of the different frequency rehabilitation treatment on the cognitive and motor function at early period after traumatic brain injury.Methods 78 inpatients with traumatic brain injury were randomly divided into two groups according to the different frequency.The rehabilitation group 1(1/d)has 38 cases and the rehabilitation group 2(2/d)has 40 cases.Both groups were treated with internal routine treatment,rehabilitation training and acupuncture for 2 months.The Fugl-Meyer(FMA),Functional independence measure(FIM),Mini-mental state examination(MMSE)were used to evaluate the TBI patients before and after one or two month treatment.Results The FMA,FIM and MMSE of both groups were improved after treatment(P<0.01),and improved degree of rehabilitation group 2 was better than that of rehabilitation group 1(P<0.05).Conclusion Rehabilitation treatment has benefit for cognitive and motor function with TBI patients.The necessary frequency rehabilitation treatment in early periods can improve the function of patients more effectively.

参考文献/References:

[1] Novack TA,Bush BA,Meythaler JM,et al.Outcome after traumatic brain injury:Pathway analysis of contribution from premorbid injury severity,and recovery variables[J].Arch phys Med Rheabil,2001,82(3):300-305.
[2] 陈建华,李亚新,刘 影.早期针灸治疗对重型颅脑损伤患者肢体运动功能的影响[J].中国针灸,2007,27(12):907-909.
[3] 胡继实,朱新洪,王 峰,等.重型颅脑损伤的早期康复治疗[J].中国康复理论与实践,2007,2(13):162-164.
[4] 徐慧英,李爱萍.创伤性颅脑损伤的康复进展[J].中国康复医学杂志,2011,26(5):489-491.
[5] 张铁鑫,周世伟,杨洪广,等.颅脑战伤非专科治疗标准化方案研究[J].东南国防医药,2007,9(6):411-414.
[6] Itoh T,Imano M,Nishida S,et al.Exereise increases neural stem cell prolliferation surrounding the areaof damage following rat traumatie brain injury[J].J Neural Transm,2011,118(2):193-202.
[7] 古 菁,黄 怀,虞容豪.脑外伤的康复评定和治疗进展[J].重庆医学,2009,4(8):909-911.
[8] 娄 坤,李爱萍,林建强,等.改善认知能力对颅脑损伤患者康复疗效的影响[J].中国疗养医学,2013,22(1):10-12.
[9] 王 强.高压氧对中枢神经细胞损伤后的保护与重塑[J].重庆医学,2008,37(9):897-898,910.
[10] 陈尚杰,黄居科,麦荣康,等.醒脑开窍针法对脑外伤患者认知功能和日常生活能力的影响[J].新中医,2012,44(5):77-79.
[11] 王晓红,黄礼群,王 琴,等.高压氧对颅脑损伤患者认知功能和ADL的影响[J].重庆医学,2010,39(8):933-934.
[12] 刁建生,范晓华,宫 艺.综合康复治疗对重度脑损伤患者步行与平衡功能的影响[J].中国康复理论与实践,2008,8(14):761-762.
[13] 胡永善.运动疗法应用研究进展[M].北京:人民卫生出版社.2009:226-227.

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备注/Memo

备注/Memo:
基金项目: 南京军区医药创新重点资助项目(09Z037)
更新日期/Last Update: 2013-08-05