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创伤性脑损伤后的激越:诊断与管理的当前及未来概念综述

Agitation after traumatic brain injury: a review of current and future concepts in diagnosis and management.

作者信息

Hoover Gary L, Whitehair Victoria C

机构信息

Department of Physical Medicine and Rehabilitation, MetroHealth System, Cleveland, OH, USA.

Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Neurol Res. 2023 Oct;45(10):884-892. doi: 10.1080/01616412.2020.1797374. Epub 2020 Jul 24.

Abstract

OBJECTIVES

Agitation and aggression are common following traumatic brain injury. The challenges related to these disorders affect all stages of recovery, from the acute hospital to the community setting. The aim of this literature review is to provide an updated overview of the current state of post-traumatic agitation research.

METHODS

We performed a PubMed literature review which included recent confirmatory and novel research as well as classic and historical studies to integrate past and future concepts.

RESULTS

Areas explored include the personal and societal effects of post-traumatic agitation, methods for defining and diagnosing several neurobehavioral disorders, and pathophysiology and management of agitation and aggression. Target areas for future study are identified and discussed.

DISCUSSION

While much progress has been made in understanding post-traumatic agitation, there remain several key areas that require further elucidation to support the care and treatment for people with traumatic brain injury.

摘要

目的

创伤性脑损伤后激越和攻击行为很常见。与这些障碍相关的挑战影响从急性医院到社区环境的康复各个阶段。本综述的目的是提供创伤后激越研究现状的最新概述。

方法

我们进行了一项PubMed文献综述,其中包括近期的验证性和创新性研究以及经典和历史性研究,以整合过去和未来的概念。

结果

探讨的领域包括创伤后激越对个人和社会的影响、定义和诊断几种神经行为障碍的方法,以及激越和攻击行为的病理生理学和管理。确定并讨论了未来研究的目标领域。

讨论

虽然在理解创伤后激越方面已经取得了很大进展,但仍有几个关键领域需要进一步阐明,以支持创伤性脑损伤患者的护理和治疗。

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