单纯前额叶脑挫裂伤患者认知障碍诊疗结果分析  

Clinical diagnosis and treatment of cognitive impairment in simple prefrontal laceration patients: an analysis of ontcome

作　　者：王宏伟[1] 汪恩焕[1] 周钟阳[1] 姚运喜[1] 于志华[1] 

机构地区：[1]安徽省蚌埠市第三人民医院神经外科,233000

出　　处：《淮海医药》2016年第4期414-416,共3页Journal of Huaihai Medicine

摘　　要：目的:探讨前额叶脑挫裂伤患者认知障碍的临床特点及诊疗。方法:应用简易智能精神状态量表(MMSE)、第2版洛文斯顿作业疗法认知功能评定量表(LOTCA)(中文版)、蒙特利尔评估量表中文版(Mo CA)、TCD及MRS对2009年-2014年收治的单纯前额叶脑挫裂伤合并轻中度认知障碍的40例患者进行检测,并随机分为2组,观察组和对照组,2组均按照脑挫裂伤常规治疗,观察组在相同的治疗基础上增加奥拉西坦、依达拉奉和高压氧治疗。结果:治疗后,2组各项评分较治疗前有所改善,观察组改善更明显。结论:及时给予奥拉西坦、依达拉奉联合高压氧治疗治疗能明显改善前额叶脑挫裂伤患者的认知功能。Objective： To explore the clinical features,diagnosis and treatment of mild cognitive impairment in prefrontal laceration patients. Methods： MMSE,LOTCA,Mo CA,TCD and MRS were used to evaluate neurocogintive function in 40 cases of patients with mild cognitive impairment in simple prefrontal laceration between 2009 and 2014 in our department. All the cases were randomly divided into 2 groups（ a combined treatment group and a contrast group）. The combined treatment group was treated with oxiracetam,edaravone combined with hyperbaric oxygen therapy. Results： The scores were improved compared with those before treatment,and the combined treatment group＇s improvement was more obvious. Conclusion： Timely administration of oxiracetam,edaravone combined with hyperbaric oxygen treatment can significantly improve the cognitive function of patients with prefrontal laceration.

关 键 词：额叶 脑挫裂伤 认知功能 

分 类 号：R651.15[医药卫生—外科学]