老年性痴呆患者1年康复训练效果评估  

Effect of one-year rehabilitation training in patients with Alzheimer disease

作　　者：张月华[1] 卢少萍[1] 徐永能[1] 符霞[1] 黄巧[1] 

机构地区：[1]广东省人民医院老年医学研究所,广东省广州市510080

出　　处：《中国临床康复》2004年第31期6859-6861,共3页Chinese Journal of Clinical Rehabilitation

基　　金：广东省医学科学基金项目(A2003004);广东省人民医院科研基金资助项目(Y02019)~~

摘　　要：目的:探讨早中期老年性痴呆患者康复训练的方法和效果。方法:将广东省人民医院收治的80例早中期老年性痴呆患者随机分为两组,对实验组40例患者进行为期1年的康复训练,包括日常生活能力训练、智能训练、体能训练,对照组40例患者在住院期间医疗、护理按常规进行,出院后不施加任何干预。训练前后采用简易精神状态检查量表(MMSE)、日常生活活动量表(ADL)、健康状态调查问卷(SF-36)进行评定。结果:实施训练计划后实验组MMSE,ADL,SF-36评定结果与对照组相比,差异有显著性意义(P<0.05),其中实验组MMSE训练前和训练1年后的值分别为19.21±3.93,20.12±3.88;ADL分别为18.05±6.53,15.05±5.02;SF-36分别为436.05±132.22,417.92±171.70。对照组则分别为19.48±2.84,17.50±3.10;16.83±5.50,18.07±6.33;456.63±148.39,417.92±171.70。结论:康复训练能有效地减慢早中期老年性痴呆患者智能下降的速度,提高生活自理能力。AIM:To investigate the method and effect of rehabilitation training for patients with Alzheimer disease(AD) at early and middle stages. METHODS:Totally 80 AD patients at early and middle stages,who were treated in the People's Hospital of Guangdong Province,were randomized into two groups:experimental group(n=40) and control group(n=40). Patients in the experimental group received one-year rehabilitation training,including trainings of activities of daily life(ADL),intelligence and physical training,while those in the control group were treated with routine medical and nursing cares during hospitalization and received no intervention after discharge.All the patients were evaluated with the mini-mental state examination(MMSE),ADL scale and health state survey questionnaire(SF-36) before and after training. RESULTS:The scores of MMSE,ADL and SF-36 in the experimental group after rehabilitation training were significantly different from those in the control group(P< 0.05).The scores of MMSE,ADL and SF-36 before training were 19.21±3.93,18.05±6.53 and 436.05±132.22 in the experimental group and were 19.48±2.84,16.83±5.50 and 456.63±148.39 in the control group;While those after one-year rehabilitation training were 20.12±3.88,15.05±5.02 and 417.92±171.70 in the experimental group and 17.50±3.10,18.07±6.33 and 417.92±171.70 in the control group. CONCLUSION:Rehabilitation training can slower the decrease of intelligence and improve the self-care ability in the AD patients at early and middle stages.

关 键 词：患者 老年性痴呆 康复训练 SF-36 对照组 ADL 中期 智能训练 训练计划 生活自理能力 

分 类 号：R749.16[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]