【摘要】：目的探討洛文斯頓作業(yè)治療用認知評定量表(LOTCA)評定顱腦外傷早期患者認知功能的效能。方法 2013年1月~2014年10月收治的腦外傷患者72例為損傷組,與損傷組年齡、性別、受教育年限匹配的健康人30名為健康組。采用LOTCA及簡易精神狀態(tài)檢查(MMSE)進行評定。結(jié)果 MMSE總分與LOTCA總分正相關(guān)(r=0.56,P0.01)。損傷組LOTCA各分項評分均明顯低于健康組(P0.01),其中定向、視運動組織、思維運作能力受損更嚴重。損傷組LOTCA定向力、視運動組織、思維運作、注意力中重度損傷人數(shù)明顯多于健康組,其中思維運作更突出。接受者操作曲線(ROC)下面積,LOTCA為(0.84±0.04),小于MMSE的(0.91±0.03)(P0.05)。結(jié)論腦外傷患者有較全面認知損傷,其中知覺損傷較少,思維運作損傷偏多。LOTCA判定腦外傷后認知障礙的效能不如MMSE。
[Abstract]:Objective To evaluate the efficacy of LOTCA in the assessment of the cognitive function in the early stage of head trauma. Methods From January 2013 to October,2014,72 cases of brain injury were treated with a group of injury, and 30 healthy subjects matched with age, sex and age of education. The evaluation was performed using LOTCA and Simple Mental State Examination (MMSE). Results The total score of MMSE was positively correlated with the total score of LOTCA (r = 0.56, P0.01). The scores of LOTCA in the injured group were significantly lower than that in the healthy group (P0.01), and the orientation, apparent movement and the ability of the thinking operation were more serious. The LOTCA directed force of the injury group was significantly higher than that of the healthy group, depending on the movement organization, the thinking operation, the attention to moderate to severe injury, and the thinking operation was more prominent. The area under the receiver operating curve (ROC) was (0.84-0.04), less than that of MMSE (0.91-0.03) (P0.05). Conclusion The patients with head injury have more comprehensive cognitive impairment, in which the perception damage is less and the thinking operation is more damaged. The effect of LOTCA on cognitive impairment after brain injury is not as good as that of MMSE.
【作者單位】： 常州市第一人民醫(yī)院神經(jīng)外科;
【分類號】：R651.15
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本文編號：2510156