导引组方联合认知训练治疗血管性痴呆的疗效研究  

Therapeutic efficacy of the combined therapy of daoyin prescription and cognitive training on vascular cognitive impairment

作　　者：牛亚利[1] 万春晓[1] 陈晓娜[1] 王婧[1] 任晓东[1] 于涛[1] 

机构地区：[1]天津医科大学总医院康复科,300052

出　　处：《中华老年医学杂志》2017年第5期518-521,共4页Chinese Journal of Geriatrics

基　　金：国家体育总局健身气功管理中心科研项目（QG201303334）

摘　　要：目的探讨导引功法组方联合认知训练渝疗血管性痴呆（VD）的疗效。方法选取VD患者75例，随机分为功法治疗组、认知圳练组、联合治疗组符25例，疗程3个月，以简易精神状态检查表（MMSE）、洛文斯顿认知功能评定量表（LOTCA）和日常生活能力量表（ADL）为评价指标。评价3组患者的疗效。结果3组患者临床资料比较差异无统计学意义（均P〉0．05），具有可比性。经3个月治疗干预后，功法治疗组、认知训练组及联合治疗组患者MMSE、ADL、LOTCA总分及LOTCA分项目中的定向、视知觉、空间知觉、视运动组织、思维操作及注意乃与治疗前相比明显下降（均P〈0．01）。联合治疗组与功法治疗组、认知训练组比较．MMSE、LOTCA总分、ADL及LOTCA分项目中的定向功能、视知觉功能、视运动组织功能及注意力差异有统计学意义（P〈0．05）。结论联合治疗对VD患者认知功能有改善作用，对身心也有很好的调节作用，是治疗VD的有效治疗手段之一。Objective To investigate the therapeutic efficacy of the combined therapy of daoyin prescription and cognitive training on vascular dementia（VI））. Methods Totally 75 patients with VD were randomly divided into 3 treatment groups：daoyin prescription, cognitive training and two combined treatments（n=25 each）for 3 months. Mini mental state examination（ MMSE）, Loewenstein occupational therapy cognitive assessment（LOTCA）and activities of daily living scale（ADL）were used for assessing therapeutic efficacy among three treatment groups. Results There were no significant differences in baseline clinical data among the three groups （P〉 0.05 ）, possessing data comparability. Scores of MMSE, LOTCA, ADL and LOTCA subitems of orientation, visual perception, spatial perception,visual movement, thinking operation and attention were significantly improved in the 3 groups after 3 months intervention versus pre-treatment with three treatments（all P〈0.01）. There were significant differences in scores of MMSE, LOTCA, ADL and LOTCA subitems of orientation, visual perception, visuo-motor organization and attention between combination therapy group versus daoyin prescription group and cognitive training group （all P〈0.05）. Conclusions Combined treatments of daoyin prescription and cognitive training have better effect on wtscu｜ar cognitive function in patients with and VD. It can markedly improve the activities of daily living and cognitive function. It is worthy of further research in clinical medicine.

关 键 词：导引组方 认知障碍 血管性痴呆 康复 

分 类 号：R749.13[医药卫生—神经病学与精神病学]