摘要
脑卒中后认知障碍(PSCI)是指脑卒中后6个月出现的达到认知障碍诊断标准的一系列综合征,PSCI严重影响患者日常生活活动能力和生活质量,阻碍脑卒中患者的全面康复,给社会和家庭带来沉重的负担。基于循证医学原则制定的PSCI中西医结合康复临床实践指南具有重要意义,有助于规范临床诊疗路径,优化临床效果。本指南关注PSCI的中医标准研制,发挥中医药优势,致力于发展出优化康复结局的中西医结合康复措施,为制定认知康复的中西医结合诊疗策略提供一定的参考依据。本指南从术语和定义、诊断标准、康复评定标准、康复治疗等方面对PSCI进行了规范,旨在帮助临床医生和治疗师确定最优的干预措施,综合认知相关的信息,最大限度地提高临床疗效。本指南治疗部分由传统康复、现代康复、中西医结合康复治疗3个部分组成,并阐述了各种方法的具体实践内容和证据等级。本指南具有较好的科学性、系统性、有效性及临床适应性。
Post-stroke cognitive impairment(PSCI)refers to a series of syndromes that meet the diagnostic criteria of cognitive impairment 6 months after stroke.PSCI seriously affects patients'ability of daily life activities and quality of life,hinders the comprehensive rehabilitation of stroke patients,and brings heavy burden to society and families.The clinical practice guidelines of PSCI rehabilitation based on evidence-based medicine are of great significance to standardize clinical diagnosis and treatment and optimize the clinical effects.The guidelines focus on the development of traditional Chinese medicine(TCM)standards of PSCI,give full play to the advantages of TCM,and devote themselves to the development of integrated traditional Chinese and western medicine rehabilitation measures to optimize the outcome of rehabilitation,so as to provide certain reference basis for the formulation of integrated traditional Chinese and western medicine diagnosis and treatment strategies for cognitive rehabilitation.The guidelines regulate PSCI in terms of terminology and definitions,clinical diagnostic criteria,rehabilitation evaluation criteria,rehabilitation treatment,etc.,aiming to help clinicians and therapists determine the optimal intervention measures,synthesize relevant information,and maximize clinical efficacy.The guidelines consist of traditional rehabilitation,western rehabilitation and rehabilitation treatment of integrated traditional Chinese and western medicine,which explain concrete practice content and levels of evidence of various methods.The guidelines are of importance for scientific,systematic,validity and clinical applicability.
作者
杨珊莉
蔡素芳
吴静怡
程昊
华烨
张心湄
林玮佳
杨文亮
YANG Shanli;CAI Sufang;WU Jingyi;CHENG Hao;HUA Ye;ZHANG Xinmei;LIN Weijia;YANG Wenliang(Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350003,China)
出处
《康复学报》
CSCD
2020年第5期343-348,共6页
Rehabilitation Medicine
基金
福建省卫生健康委员会软科学项目(2018-RK-4)。
关键词
认知障碍
脑卒中
中西医结合康复
临床诊疗
指南
cognitive impairment
stroke
integrated traditional Chinese and western medicine rehabilitation
clinical diagnosis and treatment
guideline
