关键词: 颅脑损伤；认知障碍；认知功能；认知训练；康复效果

Abstract: Objective: To construct an early rehabilitation training model for patients with cognitive impairment after craniocerebral injury and explore its application effects. Methods: The early rehabilitation training model was constructed based on literature analysis and expert correspondence. We selected 194 patients with cognitive impairment after craniocerebral injury admitted to the Department of Neurosurgery of a tertiary grade A hospital in Qinghai from March 2021 to September 2023, and divided them into the control group (n=97) and the observation group (n=97) using the randomized numerical table. The control group was given routine neurosurgical intervention training while the observation group received early intervention based on the rehabilitation training model in addition to the training of the control group. The Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), Mini-Mental State Examination (MMSE), National Institute of Health stroke scale (NIHSS), and the activities of daily living (ADL) scale were used to compare the cognitive function, neurological function, and daily living ability of the two groups. Results: After 2 months of intervention, the LOTCA score, MMSE score and ADL score of patients in the observation group were significantly higher than those of the control group, and the NIHSS score was significantly lower than that of the control group (P<0.001). Conclusion: The application of early rehabilitation model for patients with cognitive impairment after craniocerebral injury can effectively improve the cognitive function and neurological function of the patients, promote the rehabilitation and improve their quality of life.

Key words: craniocerebral injury; cognitive impairment; cognitive function;cognitive training; rehabilitation effect