本文關(guān)鍵詞： 顱腦外傷 認(rèn)知功能障礙 虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng) 人工作業(yè)認(rèn)知訓(xùn)練　出處：《成都中醫(yī)藥大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：比較虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng)與人工作業(yè)認(rèn)知訓(xùn)練對(duì)顱腦外傷認(rèn)知功能障礙的療效差異,客觀評(píng)價(jià)該系統(tǒng)的臨床實(shí)用價(jià)值。 方法：將38例患者隨機(jī)分為兩組,對(duì)照組及治療組各19例,兩組均進(jìn)行常規(guī)針刺治療及藥物治療。治療組在此基礎(chǔ)上采用虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng),對(duì)照組采用臨床常用人工作業(yè)認(rèn)知訓(xùn)練。治療前后采用LOTCA量表進(jìn)行評(píng)價(jià),比較兩種方法對(duì)顱腦外傷后認(rèn)知功能障礙的改善情況。 結(jié)果：1.兩組內(nèi)治療前后比較：對(duì)照組除圖片排序B(PS2)、邏輯問題(LQ)條目評(píng)分差異無統(tǒng)計(jì)學(xué)意義(P0.05)外,其余條目評(píng)分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)；治療組除圖片排序B(PS2)、幾何圖形排序推理(GS)條目評(píng)分差異無統(tǒng)計(jì)學(xué)意義(P0.05)外,其余條目評(píng)分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。2.兩組間治療后比較：七項(xiàng)認(rèn)知域評(píng)分在注意力、空間知覺有統(tǒng)計(jì)學(xué)意義(P0.05),其余五項(xiàng)認(rèn)知域的差異均無統(tǒng)計(jì)學(xué)意義(P0.05)；總分比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論：虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng)與人工作業(yè)認(rèn)知訓(xùn)練對(duì)顱腦外傷后認(rèn)知功能障礙均有一定的改善作用。在注意力、空間知覺的改善方面,虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng)優(yōu)于人工作業(yè)認(rèn)知訓(xùn)練；在其他認(rèn)知域,兩種方法沒有明顯差別。與人工作業(yè)認(rèn)知訓(xùn)練相比,虛擬認(rèn)知康復(fù)訓(xùn)練系統(tǒng)更具趣味性,訓(xùn)練效率更高,依從性更好,適用于臨床推廣應(yīng)用。
[Abstract]:Objective: to compare the effect of virtual cognitive rehabilitation training system and artificial cognitive training on cognitive dysfunction in craniocerebral trauma and evaluate the clinical value of the system. Methods: 38 patients were randomly divided into two groups: the control group (n = 19) and the treatment group (n = 19). Both groups were treated with routine acupuncture and drug therapy. The patients in the control group were evaluated with LOTCA scale before and after treatment, and the improvement of cognitive dysfunction after craniocerebral injury was compared. Results 1. Comparison between the two groups before and after treatment: in the control group, there was no significant difference in the score of LQs except for the picture ordering BP2P and LQs (P 0.05). The scores of other items were significantly different (P 0.05). In the treatment group, there was no significant difference in the score of the items in the treatment group except for the image sorting (BFPS _ 2) and geometric figure sorting (GS) scores (P < 0.05). The scores of the other items were significantly different between the two groups after treatment: seven cognitive domain scores in attention, spatial perception was statistically significant (P 0.05). There was no significant difference in the other five cognitive domains (P 0.05). There was no significant difference in total score (P 0.05). Conclusion: the virtual cognitive rehabilitation training system and artificial cognitive training can improve the cognitive dysfunction after craniocerebral injury in the aspects of attention and spatial perception. Virtual cognitive rehabilitation training system is superior to manual cognitive training. In other cognitive domains, there is no obvious difference between the two methods. Compared with artificial cognitive training, virtual cognitive rehabilitation training system is more interesting, more efficient, more compliant, and suitable for clinical application.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R749.1

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