运动与睡眠对老年缺血性脑卒中患者执行功能的影响  

The Influence of Exercise and Sleep on Executive Function of Elderly Patients with Ischemic Stroke

作　　者：王美娟[1] 陈长香[1] 邢琰[1] 赵彩杰[1] 

机构地区：[1]河北联合大学护理与康复学院,河北省唐山市063000

出　　处：《中国全科医学》2011年第36期4142-4144,共3页Chinese General Practice

基　　金：河北省科技厅科技支撑项目(2009276103D-3)

摘　　要：目的探讨运动与睡眠对老年缺血性脑卒中患者执行功能的影响。方法选取经原华北煤炭医学院神经内科确诊的老年缺血性脑卒中患者,采用执行功能缺陷综合征的行为学评价(behavioral assessment of dysexecutivesyndrome,BADS)在患者非急性期(入院10～14 d)对其执行功能的各项指标进行测评。结果经常锻炼的老年患者在找钥匙测验、时间判断测验、动物园分布图测验、修订六元素测验方面的评分及总分高于几乎不锻炼者,差异均有统计学意义(P<0.05);经常参加社区活动的老年患者在转换卡测验、找钥匙测验、时间判断测验、修订六元素测验方面的评分及总分高于几乎不参加者,差异有统计学意义(P<0.05);睡眠质量良好的老年患者在转换卡测验、动作计划测验、修订六元素测验方面的评分高于睡眠质量差者,差异有统计学意义(P<0.05)。结论经常运动的老年患者和睡眠质量好的老年患者其执行功能明显提高或增强。Objective To discuss the influence of exercise and sleep exerted on the executive function of elderly pa- tients with ischemic stroke. Methods Choose elderly patients of iscbemic stroke confirmed by the former department of neurology, North China Coal Medical College as the subjects. Use the behavioral assessment test of the executive function syndrome （behavioral assessment of dysexecutive syndrome, BADS） to measure all the indices of executive function of the patients during non - acute phases in hospital for 10 to 14 days. Results The elderly patients who were active in exercises scored better on total standard Test and BADS single test such as Key Search Test, Temporal Judgement Test, Zoo Map Test, Modified Six Elements Test than inactive elderly patients. The difference had statistical significance （ P 〈0. 05 ）. The elderly patients who were active in community activities scored better on Rule Shift Cards Test, Key Search Test, Temporal Judgement Test and Modified Six Elements Test than inactive patients. The difference had statistical significance （ P 〈 0. 05 ）. The elderly patients with good sleep scored better on Rule Shift Cards Test, Action Program Test, Modified Six Elements Test than that without good sleep. The difference had statistical significance, too （P 〈 0. 05 ）. Conclusion Executive function was significantly improved and enhanced in elderly patients who did exercises regularly and had good quality of sleep.

关 键 词：卒中 老年 执行功能 运动 睡眠质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]