【摘要】 目的研究记忆障碍康复训练的疗效,比较不同训练模式的疗效及优缺点,对可能影响疗效的因素进行分析。方法将全国12家综合医院和专业康复机构144例记忆障碍患者分为仪器训练组、人工训练组和对照组。仪器和人工训练组患者进行以记忆为主的认知康复训练,1次/d,30 min/次,分别治疗6周和12周;对照组不参加训练。对训练前后的瞬时、短时和长时记忆进行评定;比较仪器训练组、人工训练组及对照组训练前后组内及组间成绩;并对性别、年龄、受教育年限、病程、损伤部位及昏迷时间对疗效的影响进行分析。结果仪器训练组及人工训练组6周、12周成绩均较初评显著提高(P<0.001),并均明显高于对照组(P<0.01);仪器训练组成绩明显高于人工训练组(P<0.01);年龄与疗效呈负相关。结论记忆障碍康复的疗效显著;12周的康复训练可使患者的记忆功能显著提高;采用认知康复专业仪器进行认知训练模式的疗效明显优于人工训练模式,应予以普及推广。更多还原

【Abstract】 Objective To investigate the effect of rehabilitation on memory deficits after acquired brain injury,to compare different train-ing models of memory rehabilitation and to analyze the possible factors affecting memory rehabilitation.Methods 144 patients with ac-quired brain injury following memory deficits were randomly assigned to computer-assisted training group,face-to-face training group and control group.Both training groups were given memory-based cognitive training program once a day which sustained 30 minutes for 6 or 12 weeks.The instantaneous memory,short-term memory and long-term memory were evaluated and compared before and after training.The effect of gender,age,education,course,site of injury and coma time on training efficacy were analyszed as well.Results 6 weeks and 12 weeks at training,both computer-assisted and face-to-face training groups showed a significant improvement in memory abilities when com-pared to controls(P<0.01),with the former making more progress(P<0.01).Negative correlation was found between age and memory per-formance.Conclusion Effectiveness of memory rehabilitation is proven.12 weeks training can significantly improve memory.Cognitive training using professional equipment is significantly more effective than the face-to-face training and should be recommended.更多还原