计算机与人文结合疗法对脑损伤后认知功能障碍康复的疗效观察  

Efficacy of computer plus humanities in the treatment of cognitive dysfunction after brain injury

作　　者：于建波[1] 武效芬 杨晓梅[2] 张丽娟[1] 戚红艳[1] 郭俊峰[1] 

机构地区：[1]山东省威海市立医院康复中心,264200 [2]山东省威海市立医院药房,264200

出　　处：《中华全科医师杂志》2013年第10期841-843,共3页Chinese Journal of General Practitioners

摘　　要：将60例脑损伤后认知功能障碍患者以区组随机方法分为对照组和观察组,两组患者均接受常规运动疗法和计算机辅助治疗,观察组同时结合人文疗法治疗8周.8周后,两组洛文斯顿作业疗法认知评定（LOTCA）各项评分及巴氏指数评定（MBI）评分均较治疗前显著提高（P＜0.05）；观察组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均较治疗前显著降低（P＜0.05）.观察组知觉、视运动、思维、注意力和总分明显高于对照组（P＜0.01）.观察组SAS、SDS较对照组显著降低（P＜0.01）,分别为SAS（50±4）与（55±5）、SDS（53 ±4）与（56±5）.提示计算机与人文结合疗法能明显改善脑损伤患者的认知功能.A total of 60 patients with cognitive impairment were divided randomly into observation and control groups. Both groups were treated by conventional exercise therapy and computer-assisted cognitive rehabilitation while humanities therapy was combined in the observation group. After 8-week treatment, Loewenstein occupational therapy cognitive assessment （LOTCA） and modified Barthel index （MBI） scores were enhanced in both groups （ P 〈 0.05） while the scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） declined obviously in observation group （ P 〈 0.05 ）. The thought operation function, optomotor tissue, consciousness, concentration and total score of cognitive function in observation group were higher than control group （ P 〈 0. 01 ） while the scores of SAS and SDS obviously lower （ P 〈 0.01 ）. The scores of SAS were （ 50 ± 4 ） , （ 55 ±5 ） and SDS （ 53± 4 ） , （ 56 ± 5 ） in two groups respectively. Therefore the therapy of computer cognitive rehabilitation plus humanities has the significant effect on imuroving cognitive ftion.

关 键 词：认知疗法 康复 

分 类 号：R749.1[医药卫生—神经病学与精神病学]