康复训练辅助治疗脑梗死后认知功能障碍的临床效果分析  

Analysis of rehabilitation training for treatment of cognitive dysfunction after cerebral infarction

作　　者：张慧敏[1] 

机构地区：[1]河南省新乡市中心医院神经内一科,河南新乡453000

出　　处：《现代预防医学》2013年第7期1392-1393,1396,共3页Modern Preventive Medicine

摘　　要：目的观察认知康复训练对脑梗死后认知功能障碍患者的影响。方法 100例脑梗死后认知障碍患者随机分成观察组与对照组,两组患者均给予常规的治疗与护理,观察组患者在此基础上同时实施认知康复训练进行辅助治疗,3个月为一疗程,并采用MMSE、SSS及BI量表对治疗结果进行评价。结果两组患者的MMSE评分与治疗前比较均有明显提高,差异有统计学意义(t=12.16,527,P﹤0.05);两组患者的SSS评分与治疗前比较均有下降,差异有统计学意义(t=15.24,9.08,P﹤0.05);两组患者的BI评分与治疗前比较有明显升高,差异有统计学意义(t=8.84,4.28,P﹤0.05)。经比较两组MMSE评分,观察组MMSE评分的升高程度明显高于对照组,差异有统计学意义(t=3.47,P﹤0.05);观察组SSS评分的下降程度也明显低于对照组(t=6.15,P﹤0.01);观察组BI评分升高程度明显高于对照组(t=4.01,P﹤0.05)。结论针对脑梗后认知障碍患者,在治疗与护理期间同时对其实施认知康复训练,可有效改善患者的认知功能,提高其日常生活能力,值得临床推广。OBJECTIVE To observe the effect of cognitive rehabilitation training on the cognitive impairment of patients after cerebral infarction. METHODS 100 patients with cognitive impairment after cerebral infarction were randomly divided into observation group and control group, 50 cases in each group. Both groups were given routine treatment and nursing care. To the patients in the observation group, they were received the cognitive rehabilitation training based on the routine treatment and nursing care, a course of three months. MMSE, SSS and BI scores were used to compare the results. RESULTS Compared with the pretreatment, the MMSE and BI scores of patients in both groups increased significantly post treatment （t = 12.16, 527, P ﹤0.05）; while the SSS score decreased significantly post treatment （t = 15.24, 9.08, P﹤0.05）, BI score increased obviously post treatment （t = 8.84, 4.28, P﹤0.05）. Comparing to the control group, MMSE score increased significantly in observation group, the difference was statistically significant （t = 3.47, P﹤0.05）; while the SSS score decreased significantly in observation group （t = 6.15, P﹤0.01）; BI score elevated obviously in observation group （t = 4.01, P﹤0.05）. CONCLUSION During the period of the treatment and nursing of patients with cognitive impairment, rehabilitation training can effectively improve the cognitive function, improve their ability of daily life, is worthy of application.

关 键 词：脑梗死 认知功能障碍 康复训练 分析 

分 类 号：R493[医药卫生—康复医学]