文章摘要
黄桂兰,许明,黎帅,张泓,谭洁,彭咏梅,邓多喜,蒋全睿.认知康复训练治疗脑损伤后认知功能障碍的Meta分析[J].中国康复,2017,32(2):95-98
认知康复训练治疗脑损伤后认知功能障碍的Meta分析
Meta-analysis on treatment of cognitive impairment after brain injury by cognitive rehabilitation training
  
DOI:
中文关键词: 认知康复训练  脑损伤  认知障碍  Meta分析
英文关键词: cognitive rehabilitation training  brain injury  cognitive impairment  meta analysis
基金项目:国家自然科学基金资助项目面上项目(NO.81473753);湖南省“十二五”重点学科针灸推拿学开放基金重点资助项目(2015-02);湖南省教育厅科学研究优秀青年项目(16B197)
作者单位
黄桂兰 湖南中医院大学针灸推拿学院长沙 410208 
许明 湖南中医院大学针灸推拿学院长沙 410208 
黎帅 湖南中医院大学针灸推拿学院长沙 410208 
张泓 湖南中医院大学针灸推拿学院长沙 410208 
谭洁 湖南中医院大学针灸推拿学院长沙 410208 
彭咏梅 湖南中医院大学针灸推拿学院长沙 410208 
邓多喜 湖南中医院大学针灸推拿学院长沙 410208 
蒋全睿 湖南中医院大学针灸推拿学院长沙 410208 
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中文摘要:
  目的:系统评价认知康复训练治疗脑损伤后认知障碍的疗效。方法:计算机检索CNKI、VIP、CBM、万方及PubMed数据库,查找关于认知康复训练治疗脑损伤后认知障碍的临床随机对照试验。对纳入的研究逐个进行质量评价,并进一步对治疗后认知训练组和对照组的有效率、简易智力状况检查法(MMSE)、日常生活活动能力(ADL)、洛文斯顿认知功能评定测验(LOTCA)评分进行Meta分析。结果:16个研究共1281例患者符合纳入标准。结果显示,认知训练组的总有效率、MMSE、ADL及LOTCA评分均明显优于对照组(P<0.05,0.01)。结论:认知康复训练治疗脑损伤后认知障碍患者可一定程度上减轻认知障碍的程度,提高患者的自我生活能力。
英文摘要:
  Objective: To systematically assess the efficacy of cognitive rehabilitation training in treating cognitive impairment after brain injury. Methods: A computer searched CNKI, CBM, VIP, WanFang Data and Pubmed for randomized controlled trials (RCT) of a cognitive rehabilitation training for the treatment of cognitive impairment after brain injury. The quality of the included studies was evaluated one by one, and the effective rate, MMSE, ADL and LOTCA scores of the cognitive training group and the control group were further analyzed by Meta. Results: Sixteen trials with a total of 1281 subjects were finally enrolled. The results of Meta analysis showed that the effective rate, and scores of MMSE, ADL and LOTCA were significantly higher in the cognitive rehabilitation training group than in the control group. Conclusion: Cognitive rehabilitation training in treating cognitive impairment after brain injury could reduce the degree of cognitive impairment, and improve the patients' self-care ability.
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