| 孟繁媛,陈茉弦,唐欣,王蕾,徐璇,敖丽娟.本土化计算机辅助训练对脑外伤后记忆障碍的疗效观察[J].中国康复,2020,35(12):629-632 |
| 本土化计算机辅助训练对脑外伤后记忆障碍的疗效观察 |
| Therapeutic effect of developed computer assisted software for memory function in traumatic brain injury patients |
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| DOI： |
| 中文关键词: 脑外伤 记忆障碍训练软件 临床研究 |
| 英文关键词: traumatic brain injury memory training software clinical research |
| 基金项目:2018国家重点研发项目（2018YFC2001600）；2017年云南省科技厅重点研发项目（2018ZF017） |
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| 中文摘要: |
| 目的：探讨本土化的计算机辅助记忆训练对脑外伤后记忆障碍的临床疗效。方法：38例脑外伤后记忆障碍患者，随机分为观察组和对照组各19例。2组均进行康复科常规治疗包括物理治疗和作业治疗等。对照组由作业治疗师给予常规记忆功能训练，观察组采用本土化记忆障碍训练软件的治疗。2组训练时间均为30min/次，1次/天, 5次/周。分别于治疗前，治疗4周后采用简易精神状态测试量表（MMSE），蒙特利尔认知评估量表（MOCA），Rivermead行为记忆量表-III(RBMT-III）和改良Barthel指数（MBI）评估患者的记忆功能和日常生活活动能力。结果：治疗4周后，2组患者MMSE记忆评分、MOCA延迟回忆评分、改良Bathel指数评分均较治疗前有明显提高（P<0.05，0.01)，且观察组明显高于对照组（P<0.05，0.01)；训练后，观察组RBMT-III评分较治疗前及对照组均明显提高(均P<0.01)，对照组治疗前后比较无统计学差异。结论:本土化的计算机辅助记忆训练对改善脑外伤后患者记忆功能疗效显著，治疗效果优于人工训练组。 |
| 英文摘要: |
| Objective：To explore the clinical effect of localized computer-assisted memory training for memory impairment after traumatic brain injury. Methods: A total of 38 patients with memory impairment after brain injury were randomly and equally divided into observation group and control group. Both groups received conventional rehabilitation treatments including physical therapy and occupational therapy. The control group was given regular memory function training by occupational therapists, and the observation group was treated with localized memory impairment training software. The training time of both groups was 30 min per session, once a day, 5 times a week. Memory function and activities of daily living were assessed by mini mental state test (MMSE), Montreal Cognitive Assessment (MoCA), Rivermead Behavioral Memory text-Third edition (RBMT-III) and Modified Barthel Index (MBI) before and after 4 weeks of treatment. Results: After 4 weeks of treatment, the MMSE memory score, MOCA delayed recall score, and MBI scores of the two groups were significantly improved as compared with those before treatment (P<0.05，0.01), and those in the observation group were significantly higher than in the control group (P<0.05，0.01). The RBMT-III score in the observation group after treatment was significantly higher than that before treatment and the control group (both P<0.01), and there was no significant difference in the control group before and after treatment. Conclusion: The effect of localized computer assisted memory training for memory function of patients with traumatic brain injury is significant, and the therapeutic effect is more satisfactory than that of artificial training group. |
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