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挥鞭伤后持续存在的认知缺陷:与轻度创伤性脑损伤患者和健康志愿者的比较研究。

Persistent cognitive deficits after whiplash injury: a comparative study with mild traumatic brain injury patients and healthy volunteers.

作者信息

Beeckmans Kurt, Crunelle Cleo, Van Ingelgom Silke, Michiels Karla, Dierckx Eva, Vancoillie Patrick, Hauman Henri, Sabbe Bernard

机构信息

Center for Epilepsy and Acquired Brain Injury (CEPOS), Rooienberg 21, 2570, Duffel, Belgium.

Department of Biological Psychology, Faculty of Psychology and Educational Sciences, Free University Brussels, Pleinlaan 2, 1050, Brussels, Belgium.

出版信息

Acta Neurol Belg. 2017 Jun;117(2):493-500. doi: 10.1007/s13760-017-0745-3. Epub 2017 Jan 19.

Abstract

In this study, we evaluated persistent cognitive deficits in whiplash injury (WI) patients and compared these to cognitive functioning in mild traumatic brain injury (MTBI) patients and healthy controls (HC). Sixty-one patients suffering from a WI were compared with 57 patients suffering from a MTBI and with 30 HC. They were examined with an extensive neuropsychological test battery assessing attention, memory, and visuospatial and executive functions. In both patient groups, participants showed persistent cognitive symptoms (more than 6 months post-injury). The two patient groups did not differ significantly with regard to measurements of attention, memory, and visuospatial and executive functions. The WI group, as compared to the HC group, was found to be significantly more deficient in speed of performance during sustained and divided attention, focused attention, alternating attention, the storage of new auditory-verbal unrelated information into memory, the long-term delayed recall of stored auditory-verbal related information from memory, abstract reasoning and accuracy of performance during planning and problem solving. No differences could be found between both groups concerning speed of information processing, visuospatial abilities and verbal fluency.

摘要

在本研究中,我们评估了挥鞭样损伤(WI)患者的持续性认知缺陷,并将其与轻度创伤性脑损伤(MTBI)患者及健康对照(HC)的认知功能进行比较。61例WI患者与57例MTBI患者及30例HC进行了比较。他们接受了一套广泛的神经心理学测试,以评估注意力、记忆力、视觉空间和执行功能。在两个患者组中,参与者均表现出持续性认知症状(受伤后6个月以上)。在注意力、记忆力、视觉空间和执行功能的测量方面,两个患者组没有显著差异。与HC组相比,WI组在持续和分散注意力、集中注意力、交替注意力、将新的听觉语言无关信息存储到记忆中、从记忆中对存储的听觉语言相关信息进行长期延迟回忆、抽象推理以及计划和解决问题时的表现准确性方面明显更差。两组在信息处理速度、视觉空间能力和语言流畅性方面没有差异。

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