中医康复2025，Vol.2Issue(1)：76-80,5.DOI:10.19787/j.issn.2097-3128.2025.01.014
认知功能障碍康复评估方法的研究进展
Research Progress of Rehabilitation Assessment Methods for Cognitive Dysfunction
摘要
Abstract
Cognitive dysfunction is one of the common complications of many chronic diseases,such as stroke,dementia,cerebral palsy,diabetes mellitus and so on,and its rising incidence has brought about serious social problems,and early identification and inter-vention are crucial for rehabilitation.This paper focuses on the assessment of cognitive dysfunction from three aspects:neuropsychol-ogy,neuroimaging,and neuroelectrophysiology,and finds that neuropsychological assessment is based on scales,such as the Gesell Scale for assessing children's intellectual development;the Brief Mental State Examination(MMSE)is widely used,but is insensitive to mild cognitive impairment;the Montreal Cognitive Assessment(MoCA)has high specificity and is widely used;and the assessment of daily living Ability assessments include basic and instrumental living skills.Neuroimaging assessments include structural magnetic resonance imaging(sMRI),magnetic resonance diffusion tensor imaging(DTI),and functional near-infrared spectroscopy(fNIRS),which provide information on brain structure and function and assist in the diagnosis and differentiation of cognitive impairment.Neu-roelectrophysiological assessment reflects cortical activity and assesses changes in brain function through quantitative electroencepha-lography(QEEG)and event-related potentials(ERP),and provides a more intuitive picture of the state of brain function and the extent of brain cell damage than the first two.Despite the limitations of each method,the development of digital technology has brought new possibilities for cognitive impairment assessment,which is expected to improve the efficiency and accuracy of diagnosis and treatment,and to promote the integration of digital diagnosis and treatment for brain health.关键词
认知功能障碍/康复/评估方法/蒙特利尔认知评估量表/结构性磁共振成像/功能性近红外光谱/定量脑电图Key words
cognitive dysfunction/rehabilitation/assessment methods/MoCA/sMRI/fNIRS/QEEG分类
医药卫生引用本文复制引用
周季桦,高林,赵晓庆,邰先桃..认知功能障碍康复评估方法的研究进展[J].中医康复,2025,2(1):76-80,5.基金项目
云南省科技厅科技计划项目(202102AA100016) （202102AA100016）
云南省针灸推拿防治脑病创新团队(202405AS350007) （202405AS350007）
云南省教育厅科学研究基金项目(2023Y0462) （2023Y0462）
云南省教育厅科学研究基金(2024Y388) （2024Y388）
