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目的评价脑损伤患者记忆功能的情况,分析记忆功能的影响因素。方法选取唐山市工人医院神经外科脑损伤患者330例,采用Rivermead行为记忆测验第二版(RBMTⅡ)对患者进行记忆功能的测试。结果 330例脑损伤患者记忆功能总标准分为(15.76±4.75)分,其中309例存在记忆障碍者,记忆障碍患病率为93.64%。单因素分析显示年龄、文化程度、临床神经功能缺损程度、Fugl-Meyer运动功能、躯体功能、言语功能、有无早期康复介入与脑损伤患者记忆功能评分相关,差异有统计学意义(P<0.05);多因素分析显示年龄、临床神经功能缺损程度、Fugl-Meyer运动功能、躯体功能、言语功能、有无早期康复介入是影响脑损伤患者记忆功能的重要危险因素。结论脑损伤患者记忆受损明显,各神经功能缺损是影响记忆障碍的重要因素,医护人员应早期对患者实施全面的康复护理。
Objective To evaluate the memory function of patients with brain injury and to analyze the influencing factors of memory function. Methods 330 patients with neurosurgery brain injury in Tangshan Workers Hospital were enrolled. The memory function of the patients was tested by Rivermead Behavioral Memory Test, Second Edition (RBMTⅡ). Results The total score of memory function in 330 patients with brain injury was (15.76 ± 4.75) points, of which 309 patients had memory impairment and the prevalence of memory impairment was 93.64%. Univariate analysis showed that age, educational level, the degree of clinical neurological deficit, Fugl-Meyer motor function, body function, speech function, with or without early rehabilitation intervention and memory impairment score in patients with brain injury, the difference was statistically significant (P <0.05 ); Multivariate analysis showed that age, clinical neurological deficit, Fugl-Meyer motor function, body function, verbal function, with or without early rehabilitation intervention is an important risk factor affecting memory function in patients with brain injury. Conclusion The memory impairment of patients with brain injury is obvious. The neurological deficits are important factors that affect the memory impairment. The medical staff should carry out comprehensive rehabilitation nursing for patients early.