脑损害认知障碍与功能恢复的相关研究

目的　探讨脑损害后肢体运动功能和综合功能障碍的恢复是否与认知障碍的程度有关 ,以寻求最佳的认知和运动功能康复方法。方法　采用中文版NCSE评定量表 ,分别评测正常人 2 5例、脑损害患者 2 5例。比较两组分测验得分情况 ,并将NCSE分测验结果与患肢运动功能Brunnstrom分级、综合功能ADL(Barthel指数 )的入、出院得分进行相关分析。结果　 2 5例脑损害患者均有不同程度的认知障碍 ,分测验结果与正常人均有显著差异 (P <0 .0 1)。ADL恢复与MEM、NAM、CALC、JUD相关 (P <0 .0 5或 0 .0 1) ,功能恢复与COMP、NAM、CONST、MEM、CALC、SIM和总分相关 (P <0 .0 5或 0 .0 1)。结论　NCSE是筛查脑损害认知功能障碍的实用方法 ,其结果与脑损害功能恢复相关 ,可以作为估计预后的指标。

The relationship between cognitive dysfunction and functional recovery in patients with brain lesion

Objective To study if the recovery of extremity motor function correlates with severity of cognitive dysfunction in patients with brain lesion, and to seek effective methods for rehabilitation of cognitive and movement function. Methods Twenty five patients with brain lesion and 25 healthy subjects were tested with neurobehavioral cognitive status exam (NCSE), Brunnstrom stages and Barthel index. The score was compared between the two groups of subjects and then to analyze the correlation between the results with NCSE and Brunnstrom stages, and the NCSE scores with admission and discharge Barthel index scores. Results All the patients demonstrated some degrees of cognitive dysfunction. Significant difference between the healthy subjects and the patients in respect to the subtests results of the NCSE ( P <0.01) was also revealed. Significant correlation existed among recovery of ADL performance and items MEM?NAM? CALC?JUD in the NCSE ( P <0.05 or 0.01), as well as among functional recovery and items COMP?NAM?CONST?MEM?CALC?SIM and total score of NCSE. Conclusion NCSE is an effective measure to estimate the functional recovery of patients with brain lesion.