家庭认知康复训练对非痴呆型血管性认知障碍的影响  

Family cognitive training for patients with vascular cognitive impairment

作　　者：赵俊青[1] 邱小红[1] 薛原[1] 车丽芳 郭丽云[1] 王玉芬[2] 

机构地区：[1]长治医学院附属和平医院康复医学科,长治046000 [2]长治医学院附属和平医院神经内科,长治046000

出　　处：《中华物理医学与康复杂志》2014年第6期413-415,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察非痴呆型血管性认知障碍患者家庭认知康复训练的效果。方法采用随机数字表法将人选的非痴呆型血管性认知障碍患者60例分为训练组（30例）和对照组（30例）。2组患者均给予常规口服药物治疗和常规运动功能康复锻炼，在此基础上训练组增加家庭认知康复训练。2组患者均于治疗前、治疗1个月和6个月后进行简易精神状况量表（MMSE）、蒙特利尔认知评估量表（MoCA）和改良的Barthel指数（MBI）评定。结果治疗1个月后，2组患者的MMSE、MoCA和MBI评分与组内治疗前比较，差异无统计学意义（P〉0．05）；治疗6个月后，训练组的MMSE、MoCA和MBI评分分别为（28．33±2．85）分、（26．64±2．09）分和（74．66±11．22）分，与对照组的（26．95±1．77）分、（25．39±2．47）分和（73．98±12．64）分比较，差异有统计学意义（P〈0．05）。结论家庭认知康复训练可改善非痴呆型血管性认知障碍患者的认知功能，同时提高其日常生活活动能力。Objective To observe the effects of family cognitive training on patients with vascular cognitive impairment but without dementia. Methods Sixty patients with non-dementia type vascular cognitive impairment were divided at random into a group which received family cognitive training （30 cases） and a control group （30 cases）. The 2 groups all took routine drugs and exercise. The family cognitive training group received cognitive training additionally. Before treatment and after 1 and 6 months of treatment, all of the patients of both groups were as- sessed using the mini-mental state examination （MMSE） , the Montreal cognitive assessment （MoCA） and the modi- fied Barthel index （MBI）. Results After 1 month of treatment there was no significant difference between the 2 groups in any of the assessments. After 6 months the scores on each item of the MMSE, MoCA and MBI had improved significantly more in the family cognitive training group than in the control group. Conclusion Family cognitive training is effective in treating non-dementia type vascular cognitive impairment. It can delay disease progression and improve cognitive function and ability in the activities of daily living.

关 键 词：血管性认知障碍 家庭康复 认知训练 

分 类 号：R749.1[医药卫生—神经病学与精神病学]