《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (6): 531-534.

• 论文 • 上一篇    下一篇

脑损伤后失算症的康复疗效观察

张新1,2，恽晓平1,2，高明明1,2，郭华珍1,2，张慧丽1,2，沈敏3，潘华舫4，马兆丽5，李冬6，萧玉婷7，李芙英8，周若薇9，孟静10，路亚娟11，任海12，徐宝华13   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院康复评定科，北京市 100068；3.上海市残疾人康复职业培训中心门诊部，上海市 200127；4.浙江省残疾人康复指导中心康复科，浙江杭州市 310012；5.黑龙江省海员总医院康复科，黑龙江哈尔滨市 150020；6.郑州大学第五附属医院康复中心，河南郑州市 450052；7.甘肃省康复医院康复治疗科，甘肃兰州市 730030；8.天津北辰中医院，天津市 300400。9.北京英智康复医院，北京市 300400。10.青岛阜外医院康复中心，山东青岛市 266034。11.河南平顶山煤业集团总医院神经科，河南平顶山市 467000；12.山西省康复中心康复部，山西太原市 030012；13.北京四季青医院康复科，北京市 100097。
  • 收稿日期:2011-06-16 修回日期:1900-01-01 出版日期:2011-06-25 发布日期:2011-06-25
  • 通讯作者: 恽晓平

Efficacy of Rehabilitation on Acalculia after Acquired Brain Injury

ZHANG Xin, YUN Xiao-ping, GAO Ming-ming, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Rehabilitation Evaluation, Beijing Charity Hospital, China RehabilitationResearch Center, Beijing 100068, China
  • Received:2011-06-16 Revised:1900-01-01 Published:2011-06-25 Online:2011-06-25

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摘要： 目的探讨不同康复训练模式对脑损伤后失算症的疗效。方法应用随机表法将113 例脑损伤后失算症患者随机分为对照组(37 例)、仪器训练组(38 例)和人工训练组(38 例)。对照组接受失算症等认知障碍评定；仪器训练组和人工训练组进行认知康复训练，30 min/d，5 d/周，共训练6 周。从中抽取33 例患者进行为期12 周的训练与观察。入组患者分别于入组前、第6 周、第12周进行EC301计算和数字加工成套测验汉语修订版(EC301-CR)测验。结果仪器训练组和人工训练组6 周后成绩均有显著提高(P<0.001)；6 周、12 周后疗效均为仪器训练组>人工训练组>对照组(P<0.001)，且年龄与康复训练成绩呈负相关。结论认知康复专业设备的疗效显著优于人工训练；最初6 周为失算症最佳康复期；年龄越小，康复疗效越好。

关键词: 失算症, 脑损伤, 康复, 评定, 计算机辅助认知康复训练

Abstract: Objective To compare the efficacy of different rehabilitation models on acalculia after acquired brain injury. Methods 113 cases were randomly assigned to 3 groups: control group(n=37), computer-assisted training group(n=38) and face-to-face training group(n=38). The control group just received cognitive dysfunction evaluation. The training groups received cognitive rehabilitation training 5 days a week and 30 minutes a day which sustained for 6 weeks. And 33 patients were selected to prolong for 12 weeks. They were evaluated with Revised EC301Calculation and Number Processing Battery in Chinese version (EC301-CR) at the beginning, the 6th week point and the 12th week point respectively. Results 6-week after treatment, The performance of both the computer-assisted training group and face-to-face training group significantly improved(P<0.001); It showed that computer-assisted group>face-to-face group>control group(P<0.001) both 6 weeks and 12 weeks latter. Significant negative correlation was found between age and performance of EC301-CR(P<0.05).Conclusion The effect of computer-assisted training on acalculia is superior to face-to-face training; The first 6 weeks of training is the best period for rehabilitation; The younger the patient is, the better results are.

Key words: acalculia, acquired brain injury, rehabilitation, evaluation, computer-assisted cognitive rehabilitation