益智训练对老年痴呆患者认知功能改善的效果观察  

Effect observation of intellectual training on cognitive function of patients with Alzheimer＇s disease

作　　者：苏海丹[1] 黄春燕[1] 郑越瑜[1] 

机构地区：[1]广东医学院附属医院老年病科,湛江524001

出　　处：《中国实用护理杂志》2008年第8期16-17,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨益智训练对提高早中期老年性痴呆（AD）患者认知功能、生活自理能力和生活质量的效果。方法应用临床痴呆评定量表（CDR）测评出轻、中度AD患者38便，对其进行益智训练1年，家属参与及饮食指导，采用简明精神量表（MMSE），常识、记忆、注意测量表（IMCT）、日常生活能力量表（ADL）做训练前及训练后效果评价。结果 患者的缺陷程度在训练前和训练后1-3个月比较差异无统计学意义（P〉0.05），训练6个月后缺陷程度显著改善（P〈0.05），1年后改善程度更为显著（P〈0.01）结论 有效的益智训练可提高老年痴呆患者认知能力，改善其症状，延缓痴呆的进程，提高生存和生命质量。Objective To discuss eftect of intellectual training on cognitive function, daily life activity and life quality of patients with Alzheimer＇s disease. Methods We used clinical dementia rating （CDR） scale to select 38 patients with mild to median degree of Alzhelmer＇s disease.Intellectual training was carried out for 1 year and at the .same time their family members took part in it and dietary instruction was given. Mini-mental state examination （MMSE）. information-memory-concentration test （IMCT） and activity of daily living scale （ADI.） were used as evaluation tools Defore and after training. Results The patients＂ degree of defect before training was not different from that of within the first three months after training （P〉 0.05）,but greatly alleviated 6 months and one year later （P〈0.05,P〈0.01）. Conclusions Beneficial intellectual training eouht improve the cognitive function of patients with Alzheimer＇s disease.It alleviated their symptom,prolonged the proeess of dementia and increase the living and life quality of them.

关 键 词：老年痴呆 益智训练 效果观察 

分 类 号：R277.7[医药卫生—中医学]