《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (7): 673-675.

• 论文 • 上一篇    下一篇

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   

  1. 南京军区杭州疗养院康复科，浙江杭州市 310007。
  • 收稿日期:2011-03-16 修回日期:1900-01-01 出版日期:2011-07-25 发布日期:2011-07-25

Early Intervention of Chinese Traditional Medicine for Cognitive Functions after Traumatic Brain Injury

WANG Chun, GUO Zhi-xue, LI Ou, et al.   

  1. Rehabilitation Department, Hangzhou Sanatorium of Nanjing Military Area, Hangzhou 310007, Zhejiang, China
  • Received:2011-03-16 Revised:1900-01-01 Published:2011-07-25 Online:2011-07-25

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摘要： 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法用认知评定量表(LOTCA)进行评定。结果经过8 周的治疗，治疗组LOTCA各项指标和治疗前比较均有明显改善(P<0.01)。对照组除“物品分类”外，其余各项指标也较治疗前改善(P<0.05)。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(P<0.05)。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。

关键词: 脑外伤, 认知功能, 中医药疗法, 康复

Abstract: Objective To observe the effects of Chinese Traditional Medicine on cognitive functions in the early stage of traumatic braininjury (TBI). Methods 49 inpatients with TBI were divided into treatment group (n=25) and control group (n=24) randomly. The controlgroup accepted routine rehabilitation, while the treatment group accepted Chinese Traditional Medicine in addition. They were assessed withLoewenstein Occupational Therapy Cognitive Assessment (LOTCA) before and after treatment. Results All the scores of LOTCA of treatmentgroup significantly improved after treatment (P<0.01), as well as in control group except "Categories". Most scores of LOTCA improvedmore in the treatment group than in the control group (P<0.05). Conclusion Chinese Traditional Medicine can improve the cognitivefunction after TBI.

Key words: traumatic brain injury, cognitive function, Chinese Traditional Medicine, rehabilitation