轻度创伤性脑损伤患者视力康复共识解读  

Interpretation of consensus on visual rehabilitation of patients with mild traumatic brain injury

作　　者：邵毅 王晓宇 曾艳梅 SHAO Yi;WANG Xiaoyu;ZENG Yanmei(Department of Ophthalmology,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,National Clinical Research Center for Eye Disease,Shanghai 200080,China;Department of Ophthalmology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China)

机构地区：[1]上海交通大学医学院附属上海市第一人民医院眼科,国家眼部疾病临床医学研究中心,上海市200080 [2]南昌大学第一附属医院眼科,江西省南昌市330006

出　　处：《眼科新进展》2024年第11期841-845,共5页Recent Advances in Ophthalmology

基　　金：国家自然科学基金项目(编号:82160195)。

摘　　要：轻度创伤性脑损伤(mTBI)是一种常见的脑损伤,通常与车祸、体育活动或军事冲突中的爆炸事件有关。尽管mTBI患者症状不如中度或重度创伤性脑损伤那样明显,但它可能导致患者出现短期或长期的神经功能障碍,包括视觉问题等。这些问题会影响患者的日常生活。在临床实践中,对于mTBI患者出现的视觉障碍有多种治疗方法,如视觉康复疗法、眼动训练、双鼻闭塞、棱镜和滤光片的应用等。然而,这些治疗方法的科学依据往往不充分,且缺乏对照研究来验证其有效性,从而导致人们对这些治疗方法产生质疑。一众专家于2022年提出了关于“轻度创伤性脑损伤视力康复共识”的声明,旨在统一对mTBI进行定义,评估现有的诊断和治疗方法,并提出对未来研究的建议,促进人们开展更科学、严谨的研究,本文结合最新的文献对该共识进行解读。Mild traumatic brain injury(mTBI)is a common brain injury,which is usually associated with traffic accidents,sports activities or explosions in military conflicts.Although the symptoms of mTBI may not be as obvious as those of moderate or severe TBI,it may lead to short-term or long-term neurological dysfunction,including visual problems,which may affect the daily life of patients.In clinical practice,there are many therapies for visual impairment in patients with mTBI,such as visual rehabilitation therapy,eye movement training,double nose occlusion,as well as prism and filter application.However,the scientific basis for these treatments is often insufficient,and there is a lack of control studies to verify their effectiveness,leading to questions about these treatments.In 2022,a group of experts proposed the“Consensus on Visual Rehabilitation of Patients with Mild Traumatic Brain Injury”to unify the definition of mTBI,evaluate existing diagnosis and treatment methods and propose suggestions for future research,promoting more scientific and rigorous research.This paper interprets the consensus combined with the latest literature.

关 键 词：轻度创伤性脑损伤 视觉障碍 康复治疗 

分 类 号：R771.3[医药卫生—眼科]