高压氧治疗脑外伤认知障碍的临床应用

The clinical application of hyperbaric oxygen therapy for brain trauma cognitive disorder

认知功能障碍是脑外伤患者常见的表现之一,脑外伤后认知障碍的发病机制十分复杂且密切联系,认知障碍的的评定方法主要是神经心理量表,精神状态简易速检表(MMSE)是最具影响力的认知功能筛查工具,在国内外被广泛应用。目前对脑外伤认知障碍的治疗中,康复训练被认为是常规的治疗手段,并且被认为应及早进行。基于电脑辅助的认知康复即远程康复在国外发展迅速,中药、针灸、药物治疗、高压氧治疗及各种治疗方法的综合运用,是目前脑外伤认知障碍的常用治疗手段。高压氧治疗脑外伤认知障碍的实验研究较少。高压氧治疗脑外伤认知障碍的机制主要是高压氧对损伤脑组织的保护和修复作用。脑外伤认知障碍的康复,需要采用包括常规药物、康复训练、高压氧疗法、家庭训练、远程康复等多种康复手段在内的整体方案,临床疗效有望显著提高。

The cognitive disorder is common in patients with traumatic brain injury,one of the pathogenesis of cogni tive disorde after brain injury is very complex and in close contact,cognitive disorde assessment method is mainly neuropsychological scale,MMSE is one of the most influential cognitive screening tool that is widely used at home and abroad.At present in the treatment of cognitive disorde,traumatic brain injury rehabilitation training is regarded as a routine treatment,and should be performed as early as possible.Based on the cognitive rehabilitation of computer-aid ed remote rehabilitation abroad has developed rapidly,the Chinese medicine,acupuncture,drug therapy,hyperbaric oxygen therapy and the integrated use of various treatment methods,is currently the head trauma treatment commonly used cognitive disorde.Hyperbaric oxygen therapy of brain trauma,less experimental studies of cognitive disorde.Hy perbaric oxygen therapy of brain trauma cognitive disorde is mainly the mechanism of hyperbaric oxygen on cerebral protection and repair of damage function.Brain injury rehabilitation of cognitive disorder,need to be adopted,includ ing conventional drugs,rehabilitation training,hyperbaric oxygen therapy,family training,distance and other rehabili tation method,the overall plan,the clinical curative effect is expected to increase significantly.