摘要
目的探讨认知干预在脑卒中患者认知功能障碍康复中的价值为临床实施认知康复干预提供依据。方法将86例符合入组标准的脑卒中后认知功能障碍患者以随机数字表法分为干预组与对照组,两组均接受物理治疗、常规的作业治疗以及必要的药物治疗,干预组则在此基础上还进行专门的认知康复训练。两组患者出、入院时均采用神经行为认知状态检查(NCSE)量表、简式Fugl-Meyer量表(FMA)、Barthel指数(BI)法分别进行认知功能、运动功能、日常生活活动(ADL)能力的评定。结果NCSE评分:干预组治疗后为44.64±7.82,明显高于治疗前36.26±7.73和对照组治疗后38.73±7.61(t=3.56,14.32,P均0.01);FMA评分:干预组治疗后为52.18±8.61,明显高于治疗前25.14±8.37和对照组治疗后32.76±8.47(t=10.54,14.94,P均0.01);BI评分:干预组治疗后为61.14±12.73,明显高于治疗前31.71±10.32和对照组治疗后32.86±11.96(t=12.63,13.32,P均<0.01)。结论认知干预不仅能改善脑卒中患者的认知功能障碍,而且能促进患者运动功能与ADL能力的恢复。
Aim To investigate the effect of cognitive rehabilitation in-terventions on cognitive deficits i n patients with stroke so as to provid e evi-dences for clinical cognitive rehab ilitation intervention.Methods Eighty-six inpatients with cognitive deficits following stroke in the department o f reha-bilitation medicine were randomly d ivided into two groups:cognitive in ter-vention group and control group.Bot h groups received physical therapy,regulation occupational therapy an d necessary medication,which cogni tive intervention group received interv ention therapy based on.NCSE,FMA an d BI were conducted between two groups for cognition function,motor funct ion and activities of daily living respectively.Results The NCSE scores in cognitive intervention group after treatment were 44.64±7.82which were higher than 36.26±7.73before treatment and 38.73±7.61in control group after treatment (t=3.56,14.32,P<0.01).The FMA scores in intervention group after treatment were 52.18±8.61which were higher th an25.14±8.37before treatment and 32.76±8.47in control group after treatment (t=10.54,14.94,P<0.01).The BI scores in cognitive inter-vention group after treatment were 61.14±12.73which were higher than31.71±10.32before treatment and 32.86±11.96in control group after treatment (t=12.63,13.32,P<0.01).Conclusion Cognitive inter-vention not only improved cognitive deficits following stroke,but also en-hanced recovery of motor function an d ADL.
出处
《中国临床康复》
CSCD
2003年第10期1521-1523,共3页
Chinese Journal of Clinical Rehabilitation
基金
广东省医学科研基金资助项目(B2001008)~~
