摘要
目的探讨强化认知干预对缺血性脑卒中恢复期患者非痴呆型认知功能障碍的影响。方法选取2016年1月~2017年2月神经内科就诊的缺血性脑卒中恢复期非痴呆型认知功能障碍患者90例,随机分为干预组与对照组。两组均给予活化脑细胞、控制血脂、血糖和血压及抑制血小板聚集等基础治疗,对照组在此基础上加常规康复训练,干预组在再加以强化认知干预,干预时间12周。与干预前后检测比较两组神经、肢体运动和认知功能指标变化。结果干预12周后,两组MMSE、画钟试验和积木试验评分均有不同程度上升(P<0.05或P<0.01),且干预组上升幅度更明显(P<0.05);同时两组患者CSS评分均有不同程度下降,FMA评分和Barther评分均不同程度上升(P<0.05或P<0.01),且干预组变化幅度更大(P<0.05)。结论强化认知干预用于缺血性脑卒中恢复期非痴呆型认知功能障碍患者能减轻或延缓其认知功能的损害,改善其认知功能,并能可改善其神经和肢体运动功能,提高其日常生活能力。
Objective To investigate the effect of intensive cognitive intervention on non-dementia cognitive dysfunc- tion in patients with recovery period of ischemic stroke. Methods 90 non-dementia cognitive dysfunction patients with recovery period of ischemic stroke admitted in the Department of Neurology from January 2016 to February 2017 were randomly divided into intervention group and control group. The two groups were given basic treatment including acti- vating brain cells, controlling blood lipids, blood sugar and blood pressure and inhibiting platelet aggregation. The con- trol group was also given routine rehabilitation training based on the above treatment. The intervention group was added with intensive cognitive intervention. The intervention time was 12 weeks. The changes of nerve, limb movement and cognitive function were compared between the two groups before and after the intervention. Results After 12 weeks of interveytion, MMSE, bell-drawing test and building block test scores of both groups increased to some extent（P〈O.05 or P〈0.01）, and the increase magnitude of intervention group was more obvious（P〈0.05）. At the same time, CSS scores of both groups declined to some extent. The scores of FMA and Barther increased in different degrees （P〈0.05 or P〈0.01）, and the changes in intervention group were more significant （P〈0.05）. Conclusion Intensive cognitive intervention ap- plied in non-dementia cognitive dysfunction patients with recovery period of ischemic stroke can reduce or delay the impairment of cognitive function, improve their cognitive function, improve the nerve and limbs motor function and im- prove their daily living ability.
出处
《中国现代医生》
2017年第36期38-41,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2016KYA192)
关键词
缺血性脑卒中恢复期
非痴呆型认知功能障碍
强化认知干预
认知功能
Recovery period of ischemic stroke
Non-dementia cognitive dysfunction
Intensive cognitive intervention
Cognitive function
