认知功能障碍治疗对脑卒中功能障碍康复的影响  

Effect of Early Comprehensive Rehabilitation on Poststroke Congnition

作　　者：赵英子[1] 高旭东[1] 范小红[1] 

机构地区：[1]中航工业哈尔滨市二四二医院康复科,黑龙江哈尔滨150066

出　　处：《航空航天医药》2010年第9期1556-1557,共2页Aerospace Medicine

摘　　要：目的:研究认知功能障碍治疗对脑卒中功能障碍康复的影响。方法:随机选择60例脑卒中患者,分为早期综合康复组(30例)和对照组(30例),均采用神经内科常规药物治疗,早期综合康复组采用认知功能障碍治疗结合常规康复训练综合治疗。对照组仅采用常规康复训练。两组患者分别在进入研究时和3个月后测试Bathel指数(BI)。Fugl-Meyer评定(FMA)分。简明精神状态检查(MMSE)分。结果:治疗3个月后,早期综合康复组BI,FMA,MMSE积分均较治疗前改善(P<0.05);对照组BI、FMA、MMSE积分也较前改善(P<0.05);BI、FMA、MMSE积分在两组间有显著性差异(P<0.05)。结论:3个月后早期综合康复治疗对脑卒中功能障碍有明显的改善作用。Objective： To study the effect of early comprehensive rehabilitation on postsroke congnition. Methods： 60 patients were randomly divided into two groups,early comprehensive rehabilitation group （30 cases） and control group （30 cases） . Patients in early rehabilitation group were given clinical treatment and comprehensive rehabilitation therapy, while those in control group were given clinical treatment and retularly physical therapy. The Barthel Index （BI） ,Fugl-Meyer Assessment （FMA） ,Mini-mental Status Examination（MMSE were used to evaluate these two groups before and 3 months after treatment. Results： The scores of BI,FMA and MMSE were improved significantly （P〈0. 05） in early comprehensive rehabilitation group compared with that before treatment,so did that of BI,FMA and MMSE in control group（P〈0. 05） .The scores of BI,FMA and MMSE in early comprehensive rehilitation group improved significantly compared with that in control group（P〈0. 05） . Conclusions： Early comprehensive rehibilitation may obviously improve the cognitive function and increase the quality of living of hemiplegia after stroke

关 键 词：脑卒中 早期综合康复 认知功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]