计算机辅助认知训练对脑损伤患者认知功能与功能独立性的影响  

The effects of computer-assisted cognitive training on cognition and FIM in patients with brain injury

作　　者：楼伟伟[1] 尤春景[1] 许涛[1] 张琰[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《中华物理医学与康复杂志》2007年第7期462-465,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨计算机辅助的认知训练在脑损伤患者认知功能恢复中的作用及对功能独立性的影响。方法40例脑损伤住院患者经中文版神经行为认知状态评定(NCSE)软件确定为认知受损者,随机分成训练组和对照组,每组20例。2组均给予常规药物、高压氧、物理因子治疗及传统治疗,训练组在此基础上接受8周的计算机辅助认知训练。分别于入组时、治疗第8周及停止治疗后第4周采用NCSE软件及功能独立性评定(FIM)量表对2组患者的认知功能和功能独立性进行评定。结果训练组与对照组在入组时NCSE评分及FIM评分比较,差异无统汁学意义(P>0.05);治疗第8周及停止治疗后第4周,2组的NCSE评分和FIM评分均显著提高,且以训练组患者改善幅度更为明显,与治疗前及对照组比较,差异均有统计学意义(P<0.05)。结论计算机辅助认知训练,有助于改善脑损伤患者的认知功能与运动功能,提高患者的功能独立性。Objective To study the effects of computer-assisted cognitive training on cognition and functional independence in patients with brain injury by using the 2001 version cognitive training software developed by the authors. Methods Forty brain injury patients with cognitive dysfunction diagnosed by using neurobehavioral cogni- tive status examination （NCSE） were randomly divided into two groups： a cognitive training group and a control group. Both groups received the same medical therapy, hyperbaric oxygen, physical therapy and traditional therapy, and the cognitive training group also received eight-week computer-assisted cognitive training as an addition. The NCSE and FIM were used to evaluate the cognition and functional independence of the subjects at the beginning and at the end of the eighth week as well as 4 weeks after end of the training, respectively. Results At the beginning the NCSE scores and the FIM scores in both groups were not significantly different（ P 〉 0.05）. At the eighth week of training and after ceasing the cognitive training for 4 weeks the NCSE scores and the FIM scores were improved in both groups,especially in the cognitive training group（P 〈0.05）. Conclusion The 2001 version cognitive training software can improve the cognitive and motor function of patient with brain injury.

关 键 词：认知 脑损伤 计算机辅助 功能独立性评定 

分 类 号：R749.1[医药卫生—神经病学与精神病学]