《中国康复理论与实践》

《中国康复理论与实践》

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工作记忆训练系统对脑损伤患者工作记忆障碍的疗效①

薛翠萍1,2，恽晓平1,3，张一4，姚球近4，牛秀茹5   

  1. 1.首都医科大学康复医学院，北京市100068；2.首都医科大学附属北京康复医院康复诊疗中心，北京市100144；3.中国康复研究中心北京博爱医院康复评定科，北京市100068；4.江苏省常州市第一人民医院神经外科，江苏常州市213000；5.北京市隆福医院康复科，北京市100010。
  • 出版日期:2016-05-25 发布日期:2016-07-04

Effect ofWorking Memory Training System onWorking Memory Impairment after Brain Injury

XUE Cui-ping1,2, YUN Xiao-ping1,3, ZHANG Yi4, YAO Qiu-jin4, NIU Xiu-ru5   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Rehabilitation Evaluation and Therapy, Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China; 3. Department of Rehabilitation Evaluation, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China; 4. Department of Neurosurgery, the First People's Hospital of Changzhou, Changzhou, Jiangsu 213000, China; 5. Department of Rehabilitation Medicine, Beijing Longfu Hospital, Beijing 100010, China
  • Published:2016-05-25 Online:2016-07-04

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摘要： 目的探讨工作记忆训练系统对脑损伤患者的训练效果。方法2013 年11 月~2015 年3 月，20 例伴工作记忆障碍的脑损伤患者分为训练组(n=10)和对照组(n=10)。训练组使用“工作记忆训练系统” 进行为期4 周的工作记忆训练。对照组不进行认知康复训练。训练前后对两组患者进行数字顺/倒背、空间顺/倒背、n-back 测试及日常生活记忆调查问卷评定。结果训练组各项测试结果除数字正背外，均较对照组提高(Z>2.014, P<0.05)，日常生活记忆问卷评分改善(Z=1.970, P=0.049)。结论工作记忆系统训练可以提高脑损伤患者记忆水平，改善患者日常生活记忆障碍程度。

关键词: 工作记忆训练系统, 脑损伤, 工作记忆, 日常生活记忆

Abstract: Objective To investigate the effects of Working Memory Training System on working memory impairment after brain injury. Methods From November, 2013 to March, 2015, 20 patients of brain injury with impairment of working memory were divided into training group (n=10) and control group (n=10). The training group was trained with the Working Memory Training System for four weeks, while the control group did not accept any cognitive rehabilitation. They were tested with digital forwards/backwards, space forwards/backwards, n-back test and Everyday Memory Questionnaire before and after training. Results All of the tests improved more in the training group than in the control group (Z>2.014, P<0.05), except that of digital forwards, as well as the score of Everyday Memory Questionnaire (Z=1.970, P=0.049). Conclusion Application of Working Memory Training System can improve the ability of memory in patients with brain injury, both the working memory and everyday memory.

Key words: Working Memory Training System, brain injury, working memory, everyday memory