文章摘要
江山,李娅娜,王一鸣,徐影,王会会,李玲.虚拟现实训练技术对颅脑损伤患者认知功能恢复的疗效[J].中国康复,2019,34(9):451-454
虚拟现实训练技术对颅脑损伤患者认知功能恢复的疗效
Virtual reality training and recovery of cognition disorder after traumatic brain injury
  
DOI:
中文关键词: 虚拟现实训练  颅脑损伤  认知功能  日常生活能力
英文关键词: virtual reality treatment  traumatic brain injury  cognition ability  activity of daily living
基金项目:首都临床特色应用研究与成果推广项目(Z151100004015195);国家自然科学基金(81472168);北京市自然科学基金(7172208)
作者单位
江山 解放军总医院第四医学中心北京 100048 
李娅娜 解放军总医院第四医学中心北京 100048 
王一鸣 解放军总医院第四医学中心北京 100048 
徐影 解放军总医院第四医学中心北京 100048 
王会会 解放军总医院第四医学中心北京 100048 
李玲 解放军总医院第四医学中心北京 100048 
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中文摘要:
  目的:观察虚拟现实训练技术对颅脑损伤患者认知功能恢复的疗效。方法:选取60例颅脑损伤(TBI)患者,将其随机分为常规认知治疗组和虚拟现实治疗组,每组各30例,分别给予常规的认知训练和虚拟现实训练。治疗前、治疗2周时、治疗4周时以及治疗8周时分别对2组患者采用蒙特利尔认知功能评估量表(MoCA)、简明精神状态检查量表(MMSE)和日常生活能力(Barthel指数)进行评定。结果:治疗2周时,2组患者的MoCA评分较治疗前有所升高(P<0.05),但MMSE评分、Barthel指数与治疗前无显著性差异(P>0.05),2组患者间各项评分也无显著差异(P>0.05)。治疗4周时,2组患者的MoCA评分、MMSE评分与Barthel指数较治疗前比较均显著增加(P<0.05),但2组患者间无显著性差异。治疗8周时,2组患者的MoCA评分、MMSE评分与Barthel指数较治疗前显著增加(P<0.05),此时,虚拟现实治疗组的MoCA评分、MMSE评分与ADL评分高于常规认知治疗组(P<0.05)。结论:虚拟现实训练技术能够改善颅脑损伤患者的认知功能,同时提高患者的日常生活能力,是一种有效的认知康复手段。
英文摘要:
  Objective: To detect the effect of virtual reality training on the cognition disorder after traumatic brain injury. Methods: Sixty patients with traumatic brain injury were divided into two groups: coventional cognition treatment group and virtual reality treatment group, 30 cases in each group. The coventional cognition treatment or virtual reality treatment was given to the two groups, respectively. Cognition ability and activity of daily living were evaluated before and 2, 4 and 8 weeks after treatment. Results: After 2 weeks of treatment, the cognition ability in both groups was significantly improved (P<0.05), while there was no significant change for the activity of daily living (P>0.05) and no significant difference was found between two groups. After 4 weeks of treatment, the cognition ability and activity of daily living were improved significantly when compared with those before treatment (P<0.05), and there was no significant difference between two groups. After 8 weeks of treatment, the cognition ability and activity of daily living were improved significantly (P<0.05). Moreover, the scores in cognition ability and activity of daily living in the virtual reality treatment group were significantly higher than those in the coventional cognition treatment group (P<0.05). Conclusion: The results suggest that the virtual reality treatment is effective to improve the cognition ability and activity of daily living in the patients with traumatic brain injury.
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