脑弥漫性轴索损伤康复疗效的探讨

Effect of rehabilitation treatment on diffuse axonal injury

目的探讨脑弥漫性轴索损伤的康复疗效。方法对 2 4例住院的脑弥漫性轴索损伤患者 ,分别于康复治疗前及治疗1个疗程 ( 3个月 )后进行肢体运动功能、步行能力、日常生活活动能力 (ADL)及认知功能的评定。结果康复前后手运动功能无明显变化 (P >0 0 5 ) ,上肢运动功能改善有显著性差异 (P <0 0 5 ) ,下肢运动功能及步行能力改善有高度显著性差异 (P <0 0 1) ,ADL能力及认知功能改善有非常高度显著性差异 (P <0 0 0 1)。结论综合性康复治疗对患侧手运动功能改善不明显 ,对患侧上、下肢运动功能及步行能力改善明显 ,并可提高ADL能力及认知功能。

ObjectiveTo study the effect of rehabilitation treatment on diffuse axonal injury(DAI).Methods24 inpatients with DAI were performed a 3 month rehabilitation program.Before and after rehabilitation treatment,evaluation of locomotion function, walking ability,activities of daily living(ADL) and cognitive ability were performed and compared with each other.ResultsThe hand function showed no distinct change( P >0 05), while the locomotion function of upper limb was improved significantly( P <0 05), and that of lower limb was improved more significantly ( P <0 01) as while as the walking ability.ADL and cognitive ability were improved very more significantly ( P <0 001).ConclusionsIntegrative rehabilitation treatment cannot significantly improve the hand function of patients with DAI, but can significantly improve the locomotion function of upper and lower limb,ADL and cognitive ability.