在动脉瘤和血管学上负面的脑下下出血后,认知功能的长期发展过程
Sara Khosdelazad1, Lieke S Jorna1, Sandra E Rakers1
1Department of Neurology, Unit Neuropsychology, University Medical Center Groningen, University of Groningen, Groningen , The Netherlands.
Neurosurgery
|June 5, 2023
概括
认知障碍在下大脑关节出血 (SAH) 后持续数年,影响健康和恢复工作. 解决认知投诉对于动脉瘤SAH (aSAH) 和血管学阴性SAH (anSAH) 患者的长期康复至关重要.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 副关节出血 (SAH) 经常导致认知障碍,影响日常功能.
- 本研究研究了SAH后的长期认知轨迹和幸福感.
研究的目的:
- 为了研究SAH后认知功能的纵向过程.
- 探索认知功能,福祉,认知投诉和返回工作之间的关联.
- 为了区分动脉瘤SAH (aSAH) 和血管学负性SAH (anSAH) 的结果.
主要方法:
- 一项长度研究,包括58名aSAH和22名anSAH患者.
- 神经心理测试评估了SAH后3-6个月和2-4年内的记忆,精神运动速度和执行功能.
- 调查问卷测量了认知问题,幸福感和返回工作.
主要成果:
- 患有aSAH的患者表现出记忆力改善,而在长期随访时,anSAH患者的精神运动速度较差.
- 在这两组中都报告了持续的认知投诉,焦虑和抑郁.
- 认知问题,而不是损伤,与aSAH患者的长期幸福感和恢复工作相关.
结论:
- 经SAH后的认知障碍是持久的,影响个人进入慢性阶段.
- 与认知问题相关的心理困扰显著影响长期的幸福感和工作重返社会.
- 早期的神经心理评估和关注心理痛苦对于管理长期SAH恢复至关重要.
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