| 赵雅宁,李建民,郭 霞,景丽伟,窦 娜,陈长香,郝正玮.视听统合训练对颅脑损伤患者工作记忆和执行功能的影响[J].中国康复医学杂志,2014,29(9):823~827 |
| 视听统合训练对颅脑损伤患者工作记忆和执行功能的影响 点此下载全文 |
| 赵雅宁 李建民 郭 霞 景丽伟 窦 娜 陈长香 郝正玮 |
| 河北联合大学护理康复学院，唐山，063000 |
| 基金项目：河北省科技厅支撑课题（20276102D） |
| DOI： |
| 摘要点击次数: 1487 |
| 全文下载次数: 1873 |
| 摘要： |
| 摘要
目的：探讨视听感觉统合训练对颅脑损伤患者工作记忆和执行功能障碍的影响。
方法：采用随机数字表法将85例认知障碍的颅脑损伤患者随机分为对照组（42例）和视听统合训练组（43例）。对照组给予认知康复指导；视听统合训练组给予视听感觉统合训练，1次/d，5次/周。治疗3个月后，分别采用修订的韦氏记忆量表（WMS-CR）评定记忆功能和执行缺陷综合征的行为评价测验（BADS）评定执行功能。
结果：治疗前，两组WMS-CR评测和BADS评测无显著性意义（P>0.05）。与对照组比较，视听统合训练组WMS-CR评测中的故事理解、背数和积累分测验得分显著增高（8.63±2.77 vs 6.85±2.50；7.77±1.57 vs 6.74±1.45；11.40±2.80 vs 9.58±2.46），差异有显著性意义（P<0.05）；BADS评测中转换卡片测验、动作计划测验、找钥匙测验、修订的六元素评测（3.64±0.37 vs 3.12±0.36；3.68±0.38 vs 3.14±0.40；3.48±0.36 vs 3.16±0.35；3.36±0.36 vs 2.98±0.36）显著改善，差异有显著性意义（P<0.05）；而时间判断测验、动物园分布图测验项目评分及总分变化不明显，差异无显著性意义（P>0.05）。
结论：视听感觉统合训练可提高颅脑损伤患者的工作记忆，但对部分与日常生活相关的执行功能障碍的改善作用不明显。 |
| 关键词：视觉统合训练 颅脑损伤 工作记忆 执行功能 |
| Influence of visual and aural combined training on the working memory and executive function of patients with traumatic brain injury Download Fulltext |
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| College of Nursing and Rehabilitation Medicine, Hebei United University，Tangshan, 063000 |
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| Abstract: |
| Abstract
Objective：To explore the influence of visual and aural combined training on the working memory and executive function of patients with traumatic brain injury.
Method：By randomly number table 85 traumatic brain injury patients with cognitive impairment were divided into control group（n=42） and sensory integration training group（n=43）;The control group received cognitive education and the sensory integration training group received targeted visual and aural combined training. The working memory and executive function were examined with Wechsler memory scale（WMS-CR）and behavioral assessment of dysexecutive syndrome（BADS）.
Result：There was no significant difference in WMS-CR and BADS between two groups. Compared with the control group, the scores in story comprehension, recited data and accumulation sub-examination of WMS-CR （8.63±2.77 vs 6.85±2.50；7.77±1.57 vs 6.74±1.45；11.40±2.80 vs 9.58±2.46）and the scores in rule shift cards test, action program test, key search test and modified 6 elements test in BADS were improved（3.64±0.37 vs 3.12±0.36；3.68±0.38 vs 3.14±0.40；3.48±0.36 vs 3.16±0.35；3.36±0.36 vs 2.98±0.36）（P<0.05）；however, there was no obvious significance in the scores of temporal judgment test, zoo map test and total score.
Conclusion：Visual and aural combined training can improve the working memory in patients with traumatic brain injury，but the effects on daily life related executive dysfunction is not obviously. |
| Keywords:visual and aural combined training brain traumatic injury working memory executive function |
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