颅脑损伤恢复期患者执行功能障碍及影响因素分析

目的 探讨并分析颅脑损伤恢复期患者执行功能障碍及影响因素.方法 应用执行缺陷综合征的行为学评价测验(Behavioral Assessment of Dysexecutive Syndrome,BADS),对104例颅脑损伤恢复期(出院后5～6个月)的患者进行执行功能指标的测量,同期在该院进行体格检查的健康人为对照组;自行设计的患者基本情况调查表收集一般临床资料分析相关因素.结果 颅脑损伤患者BADS单项评分和总标准评分(12.05±2.54)分]均低于正常对照组(19.02±3.77)分],有统计学差异(P＜0.05).初中及以下文化程度组动作计划测验、时间判断测验、修订六元素测验和总分(14.83±3.86)分]均低于高中及以上文化程度组(17.67±4.10)分].病情程度重组单项评分和总分(10.13±3.86)分]均低于病情程度轻组(15.68±4.10)分].无合并症动作计划测验、找钥匙测验、动物园测验、修订六元素测验均低于有合并症组,BADS评分值与文化程度、病情严重程度及合并症(高血压、高血脂、高血糖)有关(P＜0.05).结论 颅脑损伤患者存在执行功能障碍,其执行功能障碍与文化程度、病情严重程度、文化程度及合并症等有关,医务人员应该从上述方面加以干预,以取得更好康复治疗效果.

Abstract：

Objective To explore and analyze the executive function of patients with traumatic brain injury in recovery phase and reveal its influential factors.Methods Behavioral Assessment of Dysexecutive Syndrome (BADS) was conducted in 104 patients with brain injury at 5 ～ 6 months after discharging and matched healthy comparison subjects in this study.Basic information in patients with the clinical data were collected by self-designed questionnaire to analyze the relevant factors.Results BADS findings showed that the individual scores and total standard scores of brain injury patients( 12.05 ± 2.54 ) were significantly lower than those of health population ( 19.02 ± 3.77 ) (P ＜ 0.05 ).Action program test, temporal judgment test, modified six elements test and total sub-standard scores ( 14.83 ±3.86)in junior high school education level and below group were significantly lower than that in high school and higher education group ( 17.67 ± 4.10 ).The individual scores and total standard scores ( 10.13 ± 3.86 )in heavier group were significantly lower than that in the lighter group ( 15.68 ± 4.10 ).The group without complication' action program test, key search test, zoo map test, modified six elements test were significantly lower than the group with complication.The BADS scores were related to education, illness condition,and complication (hypertension, hyperglykemia, hyperlipemia) (P＜0.05).Conclusion There is executive dysfunction in traumatic brain injury patients.The executive dysfunction is mainly correlated with education, illnesscondition and complication.Medical staff should provide pertinent intervention and treatment according to the above aspects, in order to obtain better effects of rehabilitation therapy .

Executive dysfunction and influencing factors in convalescent patients with traumatic brain injury

Objective To explore and analyze the executive function of patients with traumatic brain injury in recovery phase and reveal its influential factors.Methods Behavioral Assessment of Dysexecutive Syndrome (BADS) was conducted in 104 patients with brain injury at 5 ～ 6 months after discharging and matched healthy comparison subjects in this study.Basic information in patients with the clinical data were collected by self-designed questionnaire to analyze the relevant factors.Results BADS findings showed that the individual scores and total standard scores of brain injury patients( 12.05 ± 2.54 ) were significantly lower than those of health population ( 19.02 ± 3.77 ) (P ＜ 0.05 ).Action program test, temporal judgment test, modified six elements test and total sub-standard scores ( 14.83 ±3.86)in junior high school education level and below group were significantly lower than that in high school and higher education group ( 17.67 ± 4.10 ).The individual scores and total standard scores ( 10.13 ± 3.86 )in heavier group were significantly lower than that in the lighter group ( 15.68 ± 4.10 ).The group without complication' action program test, key search test, zoo map test, modified six elements test were significantly lower than the group with complication.The BADS scores were related to education, illness condition,and complication (hypertension, hyperglykemia, hyperlipemia) (P＜0.05).Conclusion There is executive dysfunction in traumatic brain injury patients.The executive dysfunction is mainly correlated with education, illnesscondition and complication.Medical staff should provide pertinent intervention and treatment according to the above aspects, in order to obtain better effects of rehabilitation therapy .