中国康复理论与实践Issue(1)：84-87,4.DOI:10.3969/j.issn.1006-9771.2016.01.018
洛文斯顿作业治疗用认知评定量表在脑外伤早期患者认知功能评定中的效能
Efficacy of Loewenstein Occupational Therapy Cognitive Assessment in Evaluating Cognitive Function after Traumatic Brain Injury
张瑜 1张一 1姚秋近 1王涯 1吴野环 1陈超 1王卉 1杨伊林1
作者信息
- 1. 常州市第一人民医院神经外科，江苏常州市213000
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery for patients at the early stage of traumatic brain injury (TBI). Methods 72 patients with TBI hospitalized from January, 2013 to October, 2014 and 30 healthy controls matched gender, age and educational background were assessed with the Chinese version of LOTCA battery and Mini-Mental State Examination (MMSE) respectively. Results The score of MMSE and LOTCA were correlated (r=0.56, P<0.01). Compared with the controls, the scores of all the subtests of LOTCA decreased (P<0.01) in the patients, especially the orientation, visuomo-tor organization and thinking operation;with the more incidence of medium and serious dysfunction of all the subtests of LOTCA except perception (P<0.01), in which thinking operation was the most and attention was the least. The area under the receiver operating curve (ROC) was (0.84±0.04) in LOTCA, less than that of (0.91±0.03) in MMSE (P<0.05). Conclusion Cognition is widely impaired in patients after TBI, most involved thinking operation. LOTCA is less effective to identify cognitive dysfunction than MMSE, and can be used as an al-ternation or a supplement.关键词
洛文斯顿作业治疗用认知评定量表/简易精神状态检查/脑外伤/认知障碍/评定/效能Key words
Loewenstein Occupational Therapy Cognitive Assessment/Mini-Mental State Examination/traumatic brain injury/cogni-tive impairment/assessment/efficacy分类
医药卫生引用本文复制引用
张瑜,张一,姚秋近,王涯,吴野环,陈超,王卉,杨伊林..洛文斯顿作业治疗用认知评定量表在脑外伤早期患者认知功能评定中的效能[J].中国康复理论与实践,2016,(1):84-87,4.
