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轻度创伤性脑损伤后3个月内认知功能的变化。

Changes of cognitive functioning following mild traumatic brain injury over a 3-month period.

作者信息

Kwok Florence Y, Lee Tatia M C, Leung Clarence H S, Poon Wai S

机构信息

Laboratory of Neuropsychology, The University of Hong Kong, Hong Kong, China.

出版信息

Brain Inj. 2008 Sep;22(10):740-51. doi: 10.1080/02699050802336989.

Abstract

PRIMARY OBJECTIVE

To examine the cognitive functioning in patients with complicated mild traumatic brain injury immediately post-injury and at 1 and 3 months post-injury. RESEARCH DESIGN, METHODS, AND PROCEDURES: Between-group comparisons were adopted for this study. Specifically, both patients and healthy controls were administered neuropsychological assessments measuring attention, memory and executive functions at three time points.

RESULTS

Findings indicate that patients performed significantly more poorly in information processing and divided attention, sustained attention, verbal recognition and verbal fluency immediately post-injury. While the information processing and divided attention of mild TBI patients improved at 1 month and returned to normal at 3 months post-injury, their sustained attention remained significantly poorer over the 3-month period.

CONCLUSIONS

Findings suggest that attention dysfunction is noticeable immediately following a mild TBI. Different attention functions appear to recover at a different pace over time, suggesting that the condition may have a differential impact on the different sub-types of attention.

摘要

主要目的

研究复杂性轻度创伤性脑损伤患者在受伤后即刻、伤后1个月和3个月时的认知功能。

研究设计、方法与步骤:本研究采用组间比较。具体而言,在三个时间点对患者和健康对照者均进行了测量注意力、记忆力和执行功能的神经心理学评估。

结果

研究结果表明,患者在受伤后即刻的信息处理、分散注意力、持续注意力、言语识别和言语流畅性方面表现明显更差。虽然轻度创伤性脑损伤患者的信息处理和分散注意力在伤后1个月有所改善,并在伤后3个月恢复正常,但他们的持续注意力在3个月期间仍明显较差。

结论

研究结果表明,轻度创伤性脑损伤后即刻注意力功能障碍明显。不同的注意力功能似乎随时间以不同速度恢复,这表明该病症可能对不同类型的注意力有不同影响。

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