轻度外伤性脑损伤的远期影响大

2013-03-20 沈牡丹 译 医学论坛网

  患有轻度外伤性脑损伤的儿童可经历几个月的身体症状、认知症状和功能不全。   患有闭合性头部损伤的儿童,无论是否丧失意识(LOC),均可经受轻度外伤性脑损伤(TBI)。研究者使用可靠的变化分析比较了186位罹患轻度TBI的儿童和99位罹患极度骨折的儿童(年龄段:8~15岁),来确定躯体的(如头痛)和认知的(如注意力不集中和健忘)损伤后症状加重的发生几率。家长于第2周、3个月和12个月报告


  患有轻度外伤性脑损伤的儿童可经历几个月的身体症状、认知症状和功能不全。

  患有闭合性头部损伤的儿童,无论是否丧失意识(LOC),均可经受轻度外伤性脑损伤(TBI)。研究者使用可靠的变化分析比较了186位罹患轻度TBI的儿童和99位罹患极度骨折的儿童(年龄段:8~15岁),来确定躯体的(如头痛)和认知的(如注意力不集中和健忘)损伤后症状加重的发生几率。家长于第2周、3个月和12个月报告了损伤后症状,于第3个月和12个月报告了功能缺损症状。

  在罹患轻度TBI的儿童中,40%有LOC,18%经磁共振成像(MRI)检查有脑异常。总之,罹患轻度TBI的儿童比罹患骨伤的儿童更可能在第2周的损伤后评估中报告躯体症状与认知症状加重。罹患TBI的儿童的认知症状常持续到损伤后第12个月,最常发生于有LOC的儿童。

  第2周时,躯体症状与认知症状均加重,预示损伤后第3个月与健康相关的生活质量(HRQOL)下降。于第3个月,认知症状加重,预示损伤后第3个月与第12个月的社会心理的HRQOL下降。于损伤后第3个月,躯体症状加重,预示需要加强教育性干预。

原文链接:Long-Term Effects of Mild Traumatic Brain Injury Are Not So Mild
 



    

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