儿童意识障碍:评估,治疗和预后
Beth S Slomine1, Stacy J Suskauer2
1Kennedy Krieger Institute, 707 North Broadway, Balitmore, MD 21205, USA; Department of Psychiatry and Behavioral Health, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA; Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA.
Physical medicine and rehabilitation clinics of North America
|November 22, 2023
概括
儿童获得性脑损伤和意识障碍 (DoC) 的研究正在取得进展. 患有DoC的儿童的意识早期迹象表明更好的长期结果,指导改善护理标准.
科学领域:
- 儿科神经学 儿科神经学
- 神经康复疗法 神经康复疗法
- 获得的脑损伤
背景情况:
- 获得性脑损伤的儿童经常经历长时间的意识障碍 (DoC).
- 研究和评估工具对儿科医院的评估显著落后于成人文学.
- 需要改进的评估方法,特别是对于幼儿和那些无法遵循命令的人来说,这是非常重要的.
研究的目的:
- 要突出目前儿童意识障碍研究的现状.
- 强调需要严格评估儿童的DoC评估工具的必要性.
- 讨论当前文献对预后和护理标准的影响.
主要方法:
- 文献综述和现有关于儿科获得性脑损伤和DoC的研究的综合.
- 对儿童意识评估评估工具的最新发展进行分析.
- 检查预后指标和数据,以告知护理标准.
主要成果:
- 预后文献越来越多地支持DoC儿童意识的早期指标与更好的长期结果相关.
- 评估工具的近期进展表明,改善护理是有前途的,特别是对于非语言或意识极小的儿科患者.
- 虽然大型临床试验很少,但程序数据正在塑造当前的护理标准和治疗策略.
结论:
- 持续的研究和对评估工具的严格评估对于推进对患有DoC的儿童的护理至关重要.
- 在获得性脑损伤的儿科患者中早期识别意识是恢复的关键预测因素.
- 在没有大规模临床试验的情况下,程序数据对于建立基于证据的护理标准至关重要.
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