Liang Qinchuan,Bao Nan,Shi Chengren.Research progress of children with concussion[J].Journal of Clinical Pediatric Surgery,2021,20(05):482-486.[doi:10.12260/lcxewkzz.2021.05.017]
儿童脑震荡研究进展
- Title:
- Research progress of children with concussion
- Keywords:
- Brain Concussion/PC; Brain Concussion/CO; Brain Concussion/DT; Craniocerebral Trauma/SU; Child
- 分类号:
- R651.1;R651.1+5
- 摘要:
- 儿童脑震荡是一个重要的公共卫生问题,近年来由于运动或其他因素导致脑震荡发病人数呈逐年上升趋势。许多神经心理学领域的研究工具可作为临床评估的辅助手段,但在儿童群体中,脑震荡的诊断主要依赖于个体化的临床评估。基层医务人员应根据指南、门诊电子健康档案和辅助决策软件,依据个体化原则对该病进行诊治,同时采用物理疗法、行为疗法和心理疗法加速患者的康复进程。虽然血清生物标志物是目前对高危人群进行疾病筛查的研究热点之一,但目前尚缺乏足够的证据推荐使用血清生物标志物进行筛查。本文将对儿童脑震荡预防及治疗措施的研究进展作一综述。
- Abstract:
- Pediatric concussions remain common and are frequently managed by primary care physicians.Concussion is a clinical diagnosis despite the availability of such ancillary tests as computerized neuropsychological testing,advanced imaging and blood biomarkers.Use of evidence-based decision-making tools in outpatient electronic health records along with focused training may boost appropriate documentation and cohesive clinical practice for primary care physicians.A multidisciplinary approach using physical therapy,behavioral and psychotherapy may accelerate the recovery time for patients.Retirement from sport in pediatric population remains a controversial issue lacking evidenced-based studies.There is currently no recommendation for using biomarkers for clinical diagnosis or management of concussions.
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备注/Memo
收稿日期:2019-04-23。
作者简介:梁秦川,Email:liangqinchuan@126.com