《中国康复理论与实践》

中国康复理论与实践 >

2020 , Vol. 26 >Issue 7: 788 - 792

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.07.010

综述

脑卒中后执行功能障碍的评估与康复研究进展

  • 刘远文 ,
  • 罗婧 ,
  • 方杰 ,
  • 潘翠环
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  • 1.中山大学附属第三医院康复医学科,广东广州市 510630
    2.厦门弘爱康复医院,福建厦门市 361006
    3.广州医科大学附属第二医院康复医学科,广东广州市 510260
刘远文(1990-),男,汉族,广东河源市人,硕士,治疗师,主要研究方向：认知障碍评估与康复治疗。|潘翠环(1957-),女,教授、主任医师,硕士生导师,主要研究方向：神经康复及康复治疗教育。

收稿日期: 2019-12-24

  修回日期: 2020-02-04

  网络出版日期: 2020-07-24

基金资助

国家自然科学基金项目(81702232);广东省医学科学技术研究基金项目(A2016251);广东省自然科学基金项目(2017A030313586)

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Advance in Evaluation and Rehabilitation for Post-stroke Executive Impairment (review)

  • Yuan-wen LIU ,
  • Jing LUO ,
  • Jie FANG ,
  • Cui-huan PAN
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  • 1. Department of Rehabilitation Medicine, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510630, China
    2. Xiamen Humanity Rehabilitation Hospital, Xiamen, Fujian 361006, China
    3. Department of Rehabilitation Medicine, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510260, China

Received date: 2019-12-24

  Revised date: 2020-02-04

  Online published: 2020-07-24

Supported by

National Natural Science Foundation of China(81702232);Guangdong Medical Science and Technology Foundation(A2016251);Natural Science Foundation of Guangdong(2017A030313586)

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摘要

执行功能障碍是脑卒中常见后遗症之一,患者不能很好控制自己的思想、情感和行为,其病因学尚不明确,主要涉及额叶、前扣带回、脑桥等。目前尚无特异性测评工具,神经心理学评估是目前筛查和诊断的重要手段,可分为筛查法和专项检查法。筛查法可快速判断执行功能障碍,但不能作为诊断依据;专项检查法费时,难度偏大,不易获得受试者配合。康复策略包括恢复性、代偿性和适应性策略。药物治疗是主要方法,但疗效不理想。认识训练、计算机辅助认知训练、经颅直流电刺激等方法逐渐得到应用。影像学和神经电生理技术等客观评价方法会在未来得到更多应用。

关键词： 脑卒中; 执行功能障碍; 评估; 康复; 综述

本文引用格式

刘远文 , 罗婧 , 方杰 , 潘翠环 . 脑卒中后执行功能障碍的评估与康复研究进展[J]. 中国康复理论与实践, 2020 , 26(7) : 788 -792 . DOI: 10.3969/j.issn.1006-9771.2020.07.010

Abstract

Executive impairment is common after stroke, which causes in disabilities for controling thinking, emotion and behavior. The etiology is uncertain. There is no specific assessment tool for it. The psychological assessment is the main approach to screen and diagnose executive impairment, including screening and specific examination. There are still some advantages and disadvantages. The strategy for rehabilitation includes recovery, compulsory and adaptive treatment. Medication is the main treatment, but still unsatisfactory. Cognitive training, computer-assisted cognitive rehabilitation and transcranial direct current stimulation and so on are applied. Imaging and physiological electrical techniques are needed.

Key words： stroke; executive impairment; evaluation; rehabilitation; review

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