脑弥漫性轴索损伤患者运动功能和认知功能障碍的康复

目的：探讨脑弥漫性轴索损伤的运动功能和认知功能障碍的康复疗效。方法：对128例脑弥漫性轴索损伤患者，随机分为两组，每组64例，对照组行脑外伤常规药物治疗、呼吸和泌尿系的基础护理，预防肺部感染、泌尿系感染和压疮。患者随意自我锻炼。康复组在常规治疗的基础上，接受系统的肢体运动功能、认知功能和日常生活活动的康复训练。比较两组患者在治疗前及治疗后3个月的肢体运动功能Fugl-Meyer量表评分、认知功能评分和ADL的评定。结果：康复组的FMA、ADL、LOTCA评分均较对照组有显著性差异（P〈0．05）。结论：将认知功能障碍与运动功能障碍同时进行康复治疗，可以改善脑弥漫性轴索损伤患者的运动功能和认知功能，提高ADL能力。

A clinical study of active and cognitive impairment on diffuse axonal injury

Objective:To study the effect of active and cognitive impairment on diffuse axonal injury.Method:128 patients with diffuse axonal injury were divided randomly into traditional treatment group and rehabilitation treatment group. The traditional treatment group underwent drug and basis nursing to prevent pneumonia, urinary tract infection and decubitus. The patients exercised with themselves. The rehabilitation treatment group was based on the traditional treatment. They performed active, cognitive and ADL treatment. The evaluations of FMA,ADL,LOTCA before and after 3 months rehabilitation treatment were compared. Result:FMA,ADL,LOTCA of rehabilitation treatment group were improved significantly(P<0.05).Conclusion: The rehabilitation treatment combined with active and cognitive impairment can significantly improve the locomotion and cognitive function and ADL.