摘要
目的:研究康复训练对脑卒中患者认知障碍的临床效果。方法:将48例合并有认知障碍的脑卒中患者随机分为训练组和对照组,训练组在常规康复训练的基础上给予认知康复训练,对照组予以常规康复训练,训练时间为2个月。在训练前、训练后1个月及2个月分别用简易智能状态检查(mini-mental state examination,MMSE)量表、Fugl-Meyer量表及改良Barthel指数对患者认知、运动功能分级及日常生活活动能力进行评定。结果:两组患者训练前认知、运动功能分级及日常生活活动能力差异无显著性(P>0.05)。两组患者训练1个月时Fugl-Meyer量表评分及Barthel指数无明显差异(P>0.05),MMSE评分有显著差异(P<0.05);2个月时,两组患者之间MMSE、Fugl-Meyer量表及Barthel指数存在明显差异(P<0.05)。结论:对于合并认知障碍的脑卒中患者,同时给予认知康复训练和常规康复训练,有利于其认知功能、运动功能和日常生活活动能力的改善。
Objective：To study the effects of rehabilitation on stroke patients with cognitive disorders. Method： A total of 48 stroke patients with cognitive disorders were randomly divided into training group and control group. The training group received general rehabilitation training and cognitive rehabilitation training. The control group received only general rehabilitation training. All patients were assessed with Mini Mental State Examination （MMSE）, Fugl-Meyer scale（FMS） and modified Barthel index（MBI） to evaluate their cognition, movement function and activity of daily living （ADL） before training, as well as after 1-month and 2-month training. Result： There was no significant difference in cognition, movement functions and ADL between training group and control group before treatment （P〉0.05）. The differences in the assessment of Brunnstrom scale and MBI between two groups after 1-month training were not significant （P〉0.05）. The scores of Fugl-Meyer scale, MMSE and Barthel index of the training group after 2-month training were significantly higher than those of control group （P〈0.05）. Conclusion： Cognitive rehabilitation therapy with general rehabilitation training could improve the cognitive function, movement functions and ADL of stroke patients.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2008年第7期622-624,共3页
Chinese Journal of Rehabilitation Medicine
基金
杨浦区脑卒中社区预防和康复治疗方案的研究项目(2005AA001)
关键词
认知障碍
认知训练
运动功能
日常生活活动能力
cognitive disorder
cognitive training
movement function
activity of daily living
