儿童脑震荡研究进展  

Research progress of children with concussion

作　　者：梁秦川(综述) 鲍南[1] 施诚仁(审校)[2] Liang Qinchuan;Bao Nan;Shi Chengren(Department of Pediatric Neurosurgery,Affiliated Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China;Department of Pediatric Surgery,Affiliated Xinhua Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心神经外科,上海市200127 [2]上海交通大学医学院附属新华医院儿外科,上海市200092

出　　处：《临床小儿外科杂志》2021年第5期482-486,共5页Journal of Clinical Pediatric Surgery

摘　　要：儿童脑震荡是一个重要的公共卫生问题,近年来由于运动或其他因素导致脑震荡发病人数呈逐年上升趋势。许多神经心理学领域的研究工具可作为临床评估的辅助手段,但在儿童群体中,脑震荡的诊断主要依赖于个体化的临床评估。基层医务人员应根据指南、门诊电子健康档案和辅助决策软件,依据个体化原则对该病进行诊治,同时采用物理疗法、行为疗法和心理疗法加速患者的康复进程。虽然血清生物标志物是目前对高危人群进行疾病筛查的研究热点之一,但目前尚缺乏足够的证据推荐使用血清生物标志物进行筛查。本文将对儿童脑震荡预防及治疗措施的研究进展作一综述。Pediatric concussions remain common and are frequently managed by primary care physicians.Concussion is a clinical diagnosis despite the availability of such ancillary tests as computerized neuropsychological testing,advanced imaging and blood biomarkers.Use of evidence-based decision-making tools in outpatient electronic health records along with focused training may boost appropriate documentation and cohesive clinical practice for primary care physicians.A multidisciplinary approach using physical therapy,behavioral and psychotherapy may accelerate the recovery time for patients.Retirement from sport in pediatric population remains a controversial issue lacking evidenced-based studies.There is currently no recommendation for using biomarkers for clinical diagnosis or management of concussions.

关 键 词：脑震荡/预防和控制 脑震荡/并发症 脑震荡/药物疗法 颅脑损伤/外科学 儿童 

分 类 号：R651.1[医药卫生—外科学] R651.15[医药卫生—临床医学]