文章摘要
尤春景,许涛,欧阳多利,黄国荣.脑损害认知障碍与功能恢复的相关研究[J].中华物理医学与康复杂志,2003,(3):.-
脑损害认知障碍与功能恢复的相关研究
  
DOI:
中文关键词: NCSE  脑损害  认知障碍  运动功能
英文关键词: NCSE  Brain lesion  Cognitive dysfunction  Movement function
基金项目:卫生部科学研究基金项目(NO.98-1-128)
作者单位
尤春景,许涛,欧阳多利,黄国荣 430030武汉华中科技大学同济医学院附属同济医院康复医学科(尤春景、许涛、黄国荣)深圳市中心医院(欧阳多利) 
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中文摘要:
      目的探讨脑损害后肢体运动功能和综合功能障碍的恢复是否与认知障碍的程度有关,以寻求最佳的认知和运动功能康复方法。 方法采用中文版NCSE评定量表,分别评测正常人25例、脑损害患者25例。比较两组分测验得分情况,并将NCSE分测验结果与患肢运动功能Brunnstrom分级、综合功能ADL(Barthel指数)的入、出院得分进行相关分析。 结果25例脑损害患者均有不同程度的认知障碍,分测验结果与正常人均有显著差异(P<0.01)。ADL恢复与MEM、NAM、CALC、JUD相关(P<0.05或0.01), 功能恢复与COMP、NAM、CONST、MEM、CALC、SIM和总分相关(P<0.05或0.01)。 结论NCSE是筛查脑损害认知功能障碍的实用方法,其结果与脑损害功能恢复相关,可以作为估计预后的指标。
英文摘要:
      Objective To study if the recovery of extremity motor function correlates with severity of cognitive dysfunction in patients with brain lesion, and to seek effective methods for rehabilitation of cognitive and movement function. MethodsTwenty-five patients with brain lesion and 25 healthy subjects were tested with neurobehavioral cognitive status exam (NCSE), Brunnstrom stages and Barthel index. The score was compared between the two groups of subjects and then to analyze the correlation between the results with NCSE and Brunnstrom stages, and the NCSE scores with admission and discharge Barthel index scores. ResultsAll the patients demonstrated some degrees of cognitive dysfunction. Significant difference between the healthy subjects and the patients in respect to the subtests results of the NCSE (P<0.01) was also revealed. Significant correlation existed among recovery of ADL performance and items MEM、NAM、 CALC、JUD in the NCSE (P<0.05 or 0.01), as well as among functional recovery and items COMP、NAM、CONST、MEM、CALC、SIM and total score of NCSE. ConclusionNCSE is an effective measure to estimate the functional recovery of patients with brain lesion.
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