轻度外伤性脑损伤患者与正常人视知觉误差的比较

Akbar Malekahmadi, M. Roozbahani, Hamidreza Hekmat, Masood Sadeghi
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摘要

背景:轻度创伤性脑损伤(MTBI)是由于头部直接或间接受到打击而造成的最轻微的脑损伤,根据格拉斯哥评分标准,其得分在13到15之间。研究结果表明认知障碍。知觉功能障碍是这些患者最重要的认知缺陷之一。本研究旨在比较MTBI患者与健康个体在视觉感知误差(VPE)方面的差异。材料与方法:本研究随机选取在伊拉姆医院就诊且诊断史小于1年的MTBI患者30例,年龄15 ~ 45岁,平均年龄27岁10个月,与同一范围,平均年龄29岁7个月的健康个体30例(两组性别相同),采用VPEMT进行评估。数据分析采用独立t检验,使用SPSS 23进行Levin分析。结果:结果显示,MTBI患者的平均VPE具有不等方差(P <0.05),在95%的水平上显著高于健康个体(P <0.05)。结论:这一发现与之前的研究结果一致,表明脑震荡的慢性认知后果,即使是轻微的,至少在受伤后一年,也会导致VPE的急剧增加。在临床和法律评价中应注意这些患者的视知觉错误。然而,这方面的明确判断需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of visual perception error among patients with mild traumatic brain injury with healthy people
Background : Mild traumatic brain injury (MTBI) is the least brain injury due to direct or indirect blow to the head, which according to the Glasgow scale is given a score between 13 and 15. The findings indicate cognitive impairment. Perceptual dysfunction is one of the most important cognitive deficits in these patients. The present study was designed and performed to compare MTBI patients with healthy individuals in terms of visual perception error (VPE). Materials and methods : In this causal-comparative study, 30 MTBI patients, in the range of 15-45 and mean age of 27 years and 10 months, with a diagnostic history of less than one year in Ilam hospitals, and 30 healthy individuals in the same range and mean age of 29 years and 7 months (both groups with equal sex) were randomly selected and assessed by VPEMT. Data were analyzed by independent t-test and Levin using SPSS 23. Results : The results showed that the mean VPE in patients with MTBI with unequal variances (P <0.05), at the level of 95% is significantly higher than healthy individuals (P <0.05). Conclusion : This finding, consistent with the results of previous research, indicates the chronic cognitive consequences of concussion, even at a mild level, at least up to one year after injury, and causes a sharp increase in VPE. It is necessary to pay attention to visual perception errors in clinical and legal evaluations of these patients. However, a definitive judgment in this regard requires future research.
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