强化认知训练对脑卒中后认知障碍患者日常生活活动能力的影响  

Effect of Intensive Cognitive Training on Activities of Daily Living of Patients with Cognitive Disorder post Stroke

作　　者：张继华[1] 王强[1] 谢家兴[1] 魏娜[1] 张红云[1] 

机构地区：[1]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2012年第8期778-780,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨强化认知训练对伴认知功能障碍的脑卒中患者日常生活活动能力(ADL)的影响。方法住院康复脑卒中患者80例,简易精神状态检查(MMSE)评分13～18分,随机分为2组,实验组(n=40)进行强化认知功能训练,对照组(n=40)进行常规康复护理训练,共3个月。干预前后进行MMSE、改良Barthel指数(MBI)评定。结果干预后,实验组MMSE、MBI评分较对照组改善更多(P<0.05)。结论强化认知训练能提高伴认知障碍脑卒中患者的ADL。Objective To observe the effect of intensive cognitive training on the cognitive function and activities of daily living （ADL） of patients with cognitive disorder post stroke. Methods 80 patients with stroke with score of Mini-mental State Examination （MMSE） be- ing 13-18 were divided into 2 groups. The control group （n=40） accepted routine rehabilitation nursing and the experimental group accepted intensive cognitive training in addition. They were assessed with MMSE and modified Barthel index （MBI） before and after intervention of 3 months. Results The scores of MMSE and MBI improved more in the experimental group than in the control group after intervention （P〈 0.05）. Conclusion Intensive cognitive training can improve the ADL of patients with cognitive disorder post stroke.

关 键 词：脑卒中 认知障碍 认知训练 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]