脑卒中后执行功能障碍的评估与康复研究进展

被引:22
作者
刘远文 [1 ]
罗婧 [1 ]
方杰 [2 ]
潘翠环 [3 ]
机构
[1] 中山大学附属第三医院康复医学科
[2] 厦门弘爱康复医院
[3] 广州医科大学附属第二医院康复医学科
基金
广东省自然科学基金;
关键词
脑卒中; 执行功能障碍; 评估; 康复; 综述;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
100204 [神经病学];
摘要
执行功能障碍是脑卒中常见后遗症之一,患者不能很好控制自己的思想、情感和行为,其病因学尚不明确,主要涉及额叶、前扣带回、脑桥等。目前尚无特异性测评工具,神经心理学评估是目前筛查和诊断的重要手段,可分为筛查法和专项检查法。筛查法可快速判断执行功能障碍,但不能作为诊断依据;专项检查法费时,难度偏大,不易获得受试者配合。康复策略包括恢复性、代偿性和适应性策略。药物治疗是主要方法,但疗效不理想。认识训练、计算机辅助认知训练、经颅直流电刺激等方法逐渐得到应用。影像学和神经电生理技术等客观评价方法会在未来得到更多应用。
引用
收藏
页码:788 / 792
页数:5
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