综合训练法用于150例脑卒中后认知障碍患者的效果评价  

Effect evaluation of combined training on 150 sufferers with cognitive disorder after stroke

作　　者：郜静[1] 李芳[1] 赵鹏[1] 

机构地区：[1]河北北方学院附属第二医院,075100

出　　处：《中国疗养医学》2015年第5期505-507,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨和研究综合训练法在治疗脑卒中后认知功能障碍患者中的疗效。方法研究对象选取为2011-01—2014-01河北北方学院附属第二医院收治的300例脑卒中后认知功能障碍患者,根据入院单双号进行随机分组,对照组150例患者采用常规训练措施,观察组150例患者则采用综合训练,两组患者在用药治疗方案上均保持一致。分别对两组患者训练前、训练1个月、训练2个月时的认知功能情况进行统计对比,分别采用简易智能状态检查量表(MMSE)、Fugl-Meyer量表以及改良Barthel指数对患者的认知、运动以及生活能力进行评定。结果在训练前两组患者的各项评定指标均无明显差异(P>0.05);训练1个月观察组患者的MMSE评分为(18.97±6.47)分,显著高于对照组的(13.24±4.10)分,差异具有统计学意义(P<0.05);训练2个月观察组患者的MMSE、Fugl-Meyer以及Barthel评分分别为(24.97±5.47)分、(57.66±8.67)分、(65.55±8.68)分,均显著高于对照组的(17.24±7.10)分、(34.64±8.56)分、(43.23±5.76)分,差异具有统计学意义(P<0.05)。结论长期应用综合训练法能够有效的改善患者的认知、运动及生活功能,提高患者的生活质量,但短期训练仅能改善认知功能,需根据患者需要适当调整训练时间。Objective To explore and study the curative effects of com bined training in the treatm ent of sufferers w ith cognitive disorder after stroke.Methods 300 sufferers w ith cognitive disorder after stroke adm itted to our sanato-rium from January 2011 to January 2014 were selected and random ly divided into control group and observation group according to the odd or even num ber,w ith 150 cases in each group .The control group were given conventional train-ing ,while the observation group were given com bined training .Both groups shared the sam e m edication treatm ent.cog-nitive function of both groups were statistically com pared before training and one and tw o m onths after training .Mi-ni-m ental state exam ination scale（MMSE ）,Fugl-Meyer scale and m odified Barthel index（MBI）were adopted to conduct cognitive,moving and living ability assessm ent.Results The assessm ent indexes before training in both groups had no significant difference （P＆gt;0.05）.A fter one m onth of training,the MMSE score of the observation group was （18.97± 6.47）,which was significantly higher than the control group of（13.24 ±4.10）,w ith differences of statistical signifi-cance （P＆lt;0.05）.A fter tw o m onths of training,the scores of MMSE ,Fugl-Meyer and Barthel respectively were （24 .97 ± 5 .47 ）,（57 .66 ± 8 .67 ）,and （65 .55 ± 8 .68 ）,which were significantly higher than the control group of（17 .24 ± 7.10）,（34.64±8.56）,and（43.23±5.76）,w ith differences of statistical significance（P＆lt;0.05）.Conclusion Long-term application of com bined training m ethod can effectively im prove the cognition ,m ovem ent and life function ,im prove the life quality of sufferers,but short-term training can only im prove cognitive function ,so the training tim e should be adjusted according to the need of sufferers.

关 键 词：脑卒中 认知障碍 功能训练 综合训练 

分 类 号：R749.13[医药卫生—神经病学与精神病学]