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创伤性脑损伤的认知康复:一个随机试验. 国防和退伍军人头部伤害计划 (DVHIP) 研究小组研究小组

A M Salazar¹, D L Warden, K Schwab

¹Defense and Veterans Head Injury Program, Bldg 1, Room B210, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA. asalazar@dvhip.org

|June 24, 2000

概括

对创伤性脑损伤 (TBI) 的强化住院认知康复显示出与家庭计划相似的结果. 进一步的试验对于评估TBI康复的有效性至关重要.

科学领域:

神经科学是一个神经科学.
康复医学康复医学康复医学
临床试验临床试验

背景情况:

创伤性脑损伤 (TBI) 是导致死亡和残疾的主要原因,特别是在年轻人中.
对TBI的康复策略往往缺乏对有效性和成本效益的严格科学评估.

研究的目的:

评估TBI患者住院认知康复的有效性.
为了比较密集的医院内认知康复与有限的家庭康复.

主要方法:

进行了一项单中心,并行组,随机化试验.
120名现役军人中度至重度的TBI被随机分类.
干预措施包括为期8周的强化住院计划或在护士支持下进行家庭康复.

主要成果:

在两组之间,在1年后的随访中,在就业回报或适应职责方面没有发现显著差异.
认知,行为和生活质量测量也显示没有显著差异.
一个子集分析表明,在无意识超过1小时的患者中,住院组的恢复率更高.

结论:

住院认知康复的整体效益与适度至重度TBI的家庭康复相提并论.
该研究强调了对TBI康复干预的随机对照试验的必要性.

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Traumatic Brain Injury l: Introduction

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