在学龄前儿童中脑震荡后的症状 在受伤后最多三个月
Joy Noelle Yumul1,2, Cathy Catroppa1,2,3, Audrey McKinlay1,2,4
1Murdoch Children's Research Institute, Melbourne, Australia.
Developmental neurorehabilitation
|August 7, 2023
概括
在幼儿中轻度创伤性脑损伤 (mTBI) 后,脑震荡后症状 (PCS) 较高,身体和睡眠症状随着时间的推移而减少. 急性疼痛和伤害前症状影响了父母的初始PCS报告.
科学领域:
- 儿科神经学 儿科神经学
- 创伤学 创伤学 创伤学
- 儿童心理学 儿童心理学
背景情况:
- 脑震荡后症状 (PCS) 在轻度创伤性脑损伤 (mTBI) 管理中至关重要,但在5岁以下的儿童中了解甚少.
- 这项研究调查了mTBI后学龄前儿童的PCS,重点关注症状模式和家长报告.
研究的目的:
- 探索个人PCS和家长报告的模式,随着时间的推移在mTBI后的幼儿.
- 确定影响家长PCS报告的症状儿童和相关变量的比例.
主要方法:
- 从急诊室招募了2-5岁的mTBI (n=13) 或肢体损伤 (n=6) 的儿童.
- 评估的父母报告的儿童PCS在呈现时,1个月和受伤后3个月.
- 检查的伤害,儿童和父母的特征与PCS报告的关联.
主要成果:
- 总体,身体和睡眠PCS在mTBI后更高,身体和睡眠PCS随着时间的推移而下降.
- 在所有时间点中,受伤组之间的症状儿童比例相似.
- 在mTBI组中,急性疼痛和伤害前症状与父母的急性PCS报告有显著的相关性.
结论:
- 观察到一般的创伤反应,但急性身体和睡眠PCS可能会区分mTBI和四肢损伤.
- 伤害和孩子的伤害前变量似乎与急性PCS父母报告有关.
- 需要对学前儿童的PCS和父母报告的预测变量进行进一步的研究.
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