Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较

doi:10.3969/j.issn.1006-9771.2017.12.010

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (12): 1415-1419.doi: 10.3969/j.issn.1006-9771.2017.12.010

Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较

张一, 王涯, 张瑜, 吴野环, 姚秋近, 严程

常州市第一人民医院,a.康复医学科,b.神经外科,江苏常州市 213003。

收稿日期:2017-07-04 修回日期:2017-11-08 出版日期:2017-12-25 发布日期:2017-12-28
作者简介:张一(1975-),男,汉族,江苏常州市人,博士,主任医师,副教授,硕士研究生导师,主要研究方向：脑损伤的功能障碍与康复治疗。E-mail: zhangyizhe1975@aliyun.com。

Comparation of Rivermead Behavioral Memory Test -II and III on Evaluating Memory Function in Patients with Mild Brain Injury

ZHANG Yi, WANG Ya, ZHANG Yu, WU Ye-huan, YAO Qiu-jin, YAN Cheng

1.a. Department of Rehabilitation Medicine; b. Neurosurgery Department, Changzhou First People's Hospital, Changzhou, Jiangsu 213003, China

Received:2017-07-04 Revised:2017-11-08 Published:2017-12-25 Online:2017-12-28
Contact: ZHANG Yi. E-mail: zhangyizhe1975@aliyun.com

摘要/Abstract

摘要： 目的比较Rivermead行为记忆量表(RBMT)-Ⅱ和RBMT-Ⅲ在轻型脑外伤和健康人群记忆力测评中的表现,为临床选择评估版本提供理论依据。方法 2015年4月至2017年2月本院住院治疗的轻型脑外伤患者40例作为脑外伤组,另选择同时期健康体检人员40例作为对照组。所有对象先进行中文版RBMT-Ⅱ测试,24~48 h后再进行中文版RBMT-Ⅲ测试,所有结果以原始分进行对比分析。结果与对照组相比,脑外伤组在RBMT-Ⅱ测试中有6个分项下降(F>2.131, P<0.05),而在RBMT-Ⅲ中则有12分项下降(F>2.035, P<0.05)。与RBMT-Ⅱ相比,RBMT-Ⅲ在两组中的天花板效应减少,主要在图片再认、面孔再认、路线即时回忆、路线延迟回忆、信件延迟回忆和定向与日期6个分项中(Z>2.117, P<0.05);而地板效应也有减少,主要在记姓名和记约定两个分项中(Z>2.138, P<0.05)。结论 RBMT-Ⅲ在评估轻型脑外伤记忆方面较RBMT-Ⅱ更具优势。

关键词: 轻型脑外伤, Rivermead行为记忆测试, 天花板效应, 地板效应

Abstract: Objective To choose a better version of Rivermead Behavioral Memory Test (RBMT) to assess memory function of patients with mild traumatic brain injury (TBI). Methods From April, 2015 to Febrary, 2017, 40 mild TBI patients and 40 healthy people were recruited as TBI group and control group respectively. Both groups completed the Chinese version of RBMT-II first, and 24 hours to 48 hours later, completed the Chinese version of RBMT-III. The raw score of each test and the number of perfect scores and floor performance were scored and compared. Results Compared with the control group, TBI group got lower scores in six subtests of RBMT-II (F>2.131, P<0.05) and twelve subtests of RBMT-III (F>2.035, P<0.05). Administration of the RBMT-III resulted in less participants performing at or near individual subtest's ceiling than RBMT-II, mainly in the picture recognition, face recognition, the line instant memories, the line delay memories, letters delayed recall and orientation date (Z>2.117, P<0.05). Also administration of the RBMT-III resulted in less floor performance than those of RBMT-II, mainly in remembering the name and the appointment (Z>2.138, P<0.05). Conclusion RBMT-III has substantial improvement over the original RBMT-II, as it reduces the problem of ceiling and floor performance and the number of misclassifications.

Key words: mild traumatic brain injury, Rivermead Behavioral Memory Test, ceiling effect, floor effect

中图分类号:

R651.1

张一, 王涯, 张瑜, 吴野环, 姚秋近, 严程. Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较[J]. 《中国康复理论与实践》, 2017, 23(12): 1415-1419.

ZHANG Yi, WANG Ya, ZHANG Yu, WU Ye-huan, YAO Qiu-jin, YAN Cheng. Comparation of Rivermead Behavioral Memory Test -II and III on Evaluating Memory Function in Patients with Mild Brain Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(12): 1415-1419.

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Rivermead行为记忆量表-Ⅱ和Ⅲ测评轻型脑外伤患者记忆功能的比较

Comparation of Rivermead Behavioral Memory Test -II and III on Evaluating Memory Function in Patients with Mild Brain Injury

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