获得性脑损伤的住院康复结局：一项回顾性研究。
Inpatient rehabilitation outcomes in acquired brain injury: a retrospective study.
文献信息
| PMID | 42820580 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Sefa Gümrük Aslan |
| 作者单位 | University of Health Sciences, Ankara Gaziler Physical Medicine and Rehabilitation Health Application and Research Center, Physical Medicine and Rehabilitation - Ankara, Türkiye. |
| 期刊 | Revista da Associacao Medica Brasileira (1992) |
| SCI 分区 | Q2 |
| IF | 1.5 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 本研究的目的是描述获得性脑损伤患者的人口学、临床、认知和功能特征，分析并发症，并评估住院康复结局。
方法： 对50例接受多学科住院康复的获得性脑损伤患者（2019-2024年）进行回顾性分析。评估了格拉斯哥昏迷量表、创伤后遗忘、认知量表（简易精神状态检查、蒙特利尔认知评估、Rancho Los Amigos量表）、功能性步行量表和并发症。
结果： 创伤性病因占76%；72%为重度（格拉斯哥昏迷量表3-8分）。延长的创伤后遗忘（>24小时）与重度损伤显著相关（p<0.001）。痉挛（64%）、挛缩（42%）、言语障碍（42%）和吞咽困难（34%）最为常见。康复后功能性步行量表评分0分从58%降至42%；功能性步行量表3-5分从24%升至46%（Wilcoxon符号秩检验，p<0.001）。
结论： 尽管存在严重功能缺损和频繁并发症，结构化多学科康复与获得性脑损伤患者可测量的功能改善相关；然而，缺乏对照组使得无法得出因果结论。
英文摘要
OBJECTIVE: The objective of this study was to describe the demographic, clinical, cognitive, and functional characteristics of acquired brain injury patients, analyze complications, and evaluate inpatient rehabilitation outcomes.
METHODS: Retrospective review of 50 acquired brain injury patients undergoing multidisciplinary inpatient rehabilitation (2019-2024). Glasgow Coma Scale, post-traumatic amnesia, cognitive scales (Mini-Mental State Examination, Montreal Cognitive Assessment, Rancho Los Amigos), Functional Ambulation Scale, and complications were assessed.
RESULTS: Traumatic etiology comprised 76% of cases; 72% were severe (Glasgow Coma Scale 3-8). Prolonged post-traumatic amnesia (>24 h) was significantly associated with severe injury (p<0.001). Spasticity (64%), contractures (42%), speech disorders (42%), and dysphagia (34%) were most prevalent. Functional Ambulation Scale score 0 decreased from 58 to 42% post-rehabilitation; Functional Ambulation Scale 3-5 increased from 24 to 46% (Wilcoxon signed-rank test, p<0.001).
CONCLUSION: Structured multidisciplinary rehabilitation was associated with measurable functional gains in acquired brain injury patients despite severe deficits and frequent complications; however, the absence of a control group precludes causal conclusions.