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一项试点研究:溶剂性中毒性脑病患者的神经心理康复治疗

[A pilot study: neuropsychological rehabilitation of patients with solvent-induced toxic encephalopathy].

作者信息

Orbaek P, Hagstadius S, Lindgren M, Abjörnsson G

机构信息

Vrkesmedicinska kliniken, Malmö allmanna sjukhus.

出版信息

Lakartidningen. 1992 Sep 2;89(36):2845-6, 2851-2.

PMID:1405880
Abstract

Fourteen patients with chronic toxic encephalopathy underwent a neuropsychological intervention comprising crisis therapy, information about the disease, and cognitive training. Evaluation showed the patients to have experienced substantial improvement in their daily life and family relations as a result of the intervention. Their affective symptoms decreased and their verbal memory improved. Regional cerebral blood flow (rCBF) measurements showed training-dependent changes of functional activity related to change in memory strategy. This rCBF change had disappeared six months later, however, suggesting that the duration of intervention needs to be extended in order for use of the learned memory techniques to become automatic. We conclude that neuropsychological rehabilitation is effective and should be made available to patients with chronic toxic encephalopathy.

摘要

14名慢性中毒性脑病患者接受了一项神经心理干预,包括危机治疗、疾病相关信息以及认知训练。评估显示,由于该干预,患者在日常生活和家庭关系方面有了显著改善。他们的情感症状减轻,言语记忆得到改善。局部脑血流量(rCBF)测量显示,与记忆策略变化相关的功能活动出现了依赖训练的变化。然而,这种rCBF变化在6个月后消失了,这表明为了使所学记忆技巧的使用变得自动化,干预时间需要延长。我们得出结论,神经心理康复是有效的,应该为慢性中毒性脑病患者提供这种康复治疗。

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