[对脑震荡后综合征的治疗和康复的现代方法]
I I Voronkovsky1,2, P G Shnyakin1, M I Zakharova2
1Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|February 9, 2026
概括
脑震荡后综合征是轻度创伤性脑损伤后的长期状况,缺乏统一的治疗方法. 建议使用药物和非药物疗法,包括心理咨询的综合方法来管理其复杂的症状.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 创伤性脑损伤 (TBI) 是一个重要的医疗保健问题,轻度TBI是最常见的形式.
- 脑震荡后综合征 (PCS) 发生在症状持续超过轻度TBI后典型的两周恢复期.
- PCS的确切原因和机制尚不清楚,有机脑损伤和心理因素的潜在贡献.
研究的目的:
- 对脑震荡后综合征的现代治疗和康复方法进行审查.
- 综合最近关于管理PCS的文献中的发现.
主要方法:
- 通过使用与PCS治疗和管理相关的关键词进行文献搜索.
- 该审查包括2013年至2024年间发表的21篇论文,这些论文来自PubMed,Google Scholar和eLibrary.
- 分析重点是药理和非药理干预.
主要成果:
- 药物选择如阿曼塔丁,甲基酸和SSRI显示出一些效果,但副作用往往导致停止治疗.
- 有效的非药物方法包括非症状的有氧活动和前庭物理治疗.
- 心理干预,如认知行为疗法和患者教育,对PCS管理有好处.
结论:
- 脑震荡后综合征是一种复杂的疾病,需要多学科的方法.
- 药物和非药物治疗的组合,以及心理支持,对于有效的PCS管理至关重要.
- 对PCS统一治疗算法的进一步研究是有必要的.
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