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脑外伤病人记忆功能的康复特点
作者:杨炯炯1  尹岭2  张亚旭1  周晓林1 
单位:1. 北京大学心理学系 北京 100871 
2.
 中国人民解放军总医院老年神经科 
关键词:Traumatic brain injury Post-traumatic amnesia Cognitive recovery 
分类号:R395.3
出版年,卷(期):页码:2002,10(1):68-70
摘要:

Objective:To explore the time course of memory recovery during post-traumatic amnesia after brain injury.Methods:A patient (WGS,aged 34) with lesions in the left temporal lobe was compared with four matched control subjects on various cognitive tests.These tests included Galveston Orientation and Amnesia test,Wechsler Memory Scale-Revised Test,Semantic Memory,and Remote Memory Test.WGS was tested at 20th days and 33rd days after the brain injury.Results:During the period of post-traumatic amnesia,marked recovery was observed for orientation,semantic memory and remote memory (especially the recent and the earlier items).While the recovery of learning for new knowledge was slow,learning curve of association of unrelated items was flat.Conclusion:The differential time courses for recovery of cognitive functions should be well considered in rehabilitative training after traumatic brain injury.

Objective:To explore the time course of memory recovery during post-traumatic amnesia after brain injury.Methods:A patient (WGS,aged 34) with lesions in the left temporal lobe was compared with four matched control subjects on various cognitive tests.These tests included Galveston Orientation and Amnesia test,Wechsler Memory Scale-Revised Test,Semantic Memory,and Remote Memory Test.WGS was tested at 20th days and 33rd days after the brain injury.Results:During the period of post-traumatic amnesia,marked recovery was observed for orientation,semantic memory and remote memory (especially the recent and the earlier items).While the recovery of learning for new knowledge was slow,learning curve of association of unrelated items was flat.Conclusion:The differential time courses for recovery of cognitive functions should be well considered in rehabilitative training after traumatic brain injury.

基金项目:
作者简介:
参考文献:

[1] Ahmed S,Bierley R,Sheikh JI et al.Post-traumatic amnesia after closed head injury:a review of the literature and some suggestions for further research.Brain Injury,2000,14(9):765-780
[2] Goldstein FC Levin HS Post-traumatic and anterograde amnesia following closed head injury.In Baddelty AD,Willson BA Watts FN,(Eds).Handbook of memory disorders.John Wiley & Sons Ltd.1995,187-209
[3] Levin HS High WM,Eisenberg HM Learning and foretting during posttraumatic amnesia in head injured patients.Journal of Neurology Neurosurgery,and Psychiatry,1988,51:14-20
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[6] Wilson BA.Semory impairments following non-prgressive brain injury:a study of four cases.Brain Injury,1991,11(4):259-269
[7] Levin HS.Memory dysfunction after head injury.In:Feinberg TE,Farah MJ.(Eds).Behaviored neurology and neuropsychology,McGraw-Hill,1997,479-489
[8] 张津津,汤慈美,程卫华,等.脑外伤后患者的认知障碍.心理科学,1993,16(5):270-273
[9] 龚耀先,等.修订韦氏记忆量表手册.湖南医学院,1984
[10] Kopelman MD.Remote and autobiographical memory,temporal context memory and frontal atrophy in Korsakoff and Alzheimer patients.Neuropsychologia,1989,27:437-460
[11] High JR,Levin HS Gary JHE.Recovery of orientation following closed head injury.Journal of Clinical and Experimented Neuropsychology,1990,12:703-714
[12] Gazzaniga MS,Ivry RB,Mangun GR,The Cognitive Neuroscience-The Biology of the Mind.W.W.Norton & Company,1999,69-120

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