在低度质瘤患者中,口语流利预测醒着手术后的工作恢复
Marion Barberis1,2, Isabelle Poisson3, Cécile Prévost-Tarabon3
1Neurosurgery Unit, Hôpital Lariboisière, AP-HP, 75010, Paris, France. marion.barberis@aphp.fr.
Acta neurochirurgica
|February 19, 2024
概括
轻微的认知障碍,特别是言语流性下降,可能会阻碍在扩散性低度质瘤手术后重返工作. 这一发现对于管理患者期望和神经外科手术后恢复至关重要.
科学领域:
- 神经外科 神经外科
- 神经瘤学神经瘤学
- 认知神经科学 认知神经科学
背景情况:
- 恢复职业活动是因扩散性低度质瘤 (DLGG) 的清醒手术后的一个关键目标.
- 认知缺陷可能会在手术后持续存在,影响恢复工作.
- 这项研究调查了轻度认知障碍与恢复工作之间的联系.
研究的目的:
- 分析轻度认知障碍对DLGG手术后恢复工作的影响.
- 确定成功返回工作的预测因素.
- 为了评估认知功能的变化,特别是口语流性,术后.
主要方法:
- 在49名职业活跃患者中,对54次DLGG手术 (2级和3级) 的回顾性分析.
- 使用手术前和4个月后手术测试评估语义和语音语言流性.
- 关于手术后工作生活的患者采访.
主要成果:
- 85%的患者恢复工作,通常在3-6个月内.
- 在整个队列中,口语流性Z-分数在手术后显著下降.
- 在没有返回工作的患者中,观察到语言流性更大的下降.
结论:
- 回职率与之前的研究相比较.
- 术后语言流性下降可能预示着无法返回工作.
- 认知评估,特别是语言流性,对于预测DLGG手术后恢复工作是很重要的.
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