中药早期介入对脑外伤后患者认知功能的影响.pdfVIP

中国康复理论与实践2011年7月第17卷第7期ChinJ PraeLJul．201l，V01．17，No．7 RehabilTheory ．．673-— ·临床研究· 中药早期介入对脑外伤后患者认知功能的影响 汪春，郭知学，李鸥，朱巧玲 I摘要l 目的观察脑外伤早期中药介入治疗对患者认知功能的影响。方法49例脑外伤后认知功能障碍的患者随机分为治 疗组25例和对照组24例。对照组采用颅脑外伤常规康复治疗，治疗组在上述方法上加用中药。在治疗前后均使用洛文斯顿作业疗 照组除“物品分类”外，其余各项指标也较治疗前改善(P0．05)。除“视运动组织”大项及“地点定向”小项外，治疗组治疗后其 余各项指标和对照组治疗后比较均有显著性差异(Po．05)。结论中药和常规康复方法结合，对脑外伤后的认知功能障碍具有良好 的临床治疗效果。 I关键词l脑外伤；认知功能；中医药疗法；康复 TraditionalMedicinefor FunctionsafterTraumaticBrain WANG InterventionofChinese Chun．GUD Early Cognitive Injury aLRehabilitation Sanatorium Zhi-xue,L1Ou,et Military Department,HangzhouofNanjingAtea,Hangzhou ToobservetheeffectsofChineseTraditionalMedicineon functionsinthe oftraumaticbrain Abstract：Objective cognitive earlystage 49 withTBlweredividedintoffeatment control control injury(TBI)．Methodsinpatients group(n=25)and routine thetreatment ChineseTraditionalMedicinein wcrcassessedwith rehabilitation，while accepted addition．They groupaccepted group Loewenstein andaftertreatment．ResultsA11thescoresofLOTCAoftreat- OccupationalTherapyCognitiveAssessment(LOTCA)before ment after wellasincontrol scoresofLOTCAim— improvedtreatment(尸≮O．01)，as groupexcept”Categories”．Most groupsignificantly moreinthetreatmentthaninthecontrol ChineseTraditionalMedicinecan the proved group group(氏0．05)．Conclusion improvecogni— tivefunctionafterTBI． words：traumaticbrain