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。
Executive impairment is common after stroke,which causes in disabilities for controling thinking,emotion and behavior.The etiology is uncertain.There is no specific assessment tool for it.The psychological assessment is the main approach to screen and diagnose executive impairment,including screening and specific examination.There are still some advantages and disadvantages.The strategy for rehabilitation includes recovery,compulsory and adaptive treatment.Medication is the main treatment,but still unsatisfactory.Cognitive training,computer-assisted cognitive rehabilitation and transcranial direct current stimulation and so on are applied.Imaging and physiological electrical techniques are needed.
作者
刘远文
罗婧
方杰
潘翠环
LIU Yuan-wen;LUO Jing;FANG Jie;PAN Cui-huan(Department of Rehabilitation Medicine,the Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou,Guangdong 510630,China;Xiamen Humanity Rehabilitation Hospital,Xiamen,Fujian 361006,China;Department of Rehabilitation Medicine,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510260,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第7期788-792,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家自然科学基金项目(No.81702232)
广东省医学科学技术研究基金项目(No.A2016251)
广东省自然科学基金项目(No.2017A030313586)。
关键词
脑卒中
执行功能障碍
评估
康复
综述
stroke
executive impairment
evaluation
rehabilitation
review
