虚拟认知康复训练系统对颅脑外伤认知障碍的临床观察

发布时间：2018-02-04 03:10

本文关键词： 颅脑外伤认知功能障碍虚拟认知康复训练系统人工作业认知训练　出处：《成都中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：比较虚拟认知康复训练系统与人工作业认知训练对颅脑外伤认知功能障碍的疗效差异,客观评价该系统的临床实用价值。方法：将38例患者随机分为两组,对照组及治疗组各19例,两组均进行常规针刺治疗及药物治疗。治疗组在此基础上采用虚拟认知康复训练系统,对照组采用临床常用人工作业认知训练。治疗前后采用LOTCA量表进行评价,比较两种方法对颅脑外伤后认知功能障碍的改善情况。结果：1.两组内治疗前后比较：对照组除图片排序B(PS2)、逻辑问题(LQ)条目评分差异无统计学意义(P0.05)外,其余条目评分差异均有统计学意义(P0.05)；治疗组除图片排序B(PS2)、几何图形排序推理(GS)条目评分差异无统计学意义(P0.05)外,其余条目评分差异均有统计学意义(P0.05)。2.两组间治疗后比较：七项认知域评分在注意力、空间知觉有统计学意义(P0.05),其余五项认知域的差异均无统计学意义(P0.05)；总分比较差异无统计学意义(P0.05)。结论：虚拟认知康复训练系统与人工作业认知训练对颅脑外伤后认知功能障碍均有一定的改善作用。在注意力、空间知觉的改善方面,虚拟认知康复训练系统优于人工作业认知训练；在其他认知域,两种方法没有明显差别。与人工作业认知训练相比,虚拟认知康复训练系统更具趣味性,训练效率更高,依从性更好,适用于临床推广应用。
[Abstract]:Objective: to compare the effect of virtual cognitive rehabilitation training system and artificial cognitive training on cognitive dysfunction in craniocerebral trauma and evaluate the clinical value of the system. Methods: 38 patients were randomly divided into two groups: the control group (n = 19) and the treatment group (n = 19). Both groups were treated with routine acupuncture and drug therapy. The patients in the control group were evaluated with LOTCA scale before and after treatment, and the improvement of cognitive dysfunction after craniocerebral injury was compared. Results 1. Comparison between the two groups before and after treatment: in the control group, there was no significant difference in the score of LQs except for the picture ordering BP2P and LQs (P 0.05). The scores of other items were significantly different (P 0.05). In the treatment group, there was no significant difference in the score of the items in the treatment group except for the image sorting (BFPS _ 2) and geometric figure sorting (GS) scores (P < 0.05). The scores of the other items were significantly different between the two groups after treatment: seven cognitive domain scores in attention, spatial perception was statistically significant (P 0.05). There was no significant difference in the other five cognitive domains (P 0.05). There was no significant difference in total score (P 0.05). Conclusion: the virtual cognitive rehabilitation training system and artificial cognitive training can improve the cognitive dysfunction after craniocerebral injury in the aspects of attention and spatial perception. Virtual cognitive rehabilitation training system is superior to manual cognitive training. In other cognitive domains, there is no obvious difference between the two methods. Compared with artificial cognitive training, virtual cognitive rehabilitation training system is more interesting, more efficient, more compliant, and suitable for clinical application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.1

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