卒中单元综合治疗对血管性认知功能损害患者认知功能及生活质量的影响分析  

Effect of Stroke Unit Comprehensive Treatment on Cognitive Function and Quality of Life of Patients with Vascular Cognitive Impairment

作　　者：俞晓岚 YU Xiaolan(Fuzhou Second Hospital Affiliated to Xiamen University,Fuzhou 350007,China)

机构地区：[1]厦门大学附属福州第二医院,福建福州350007

出　　处：《中外医学研究》2020年第33期35-37,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨卒中单元综合治疗对血管性认知功能损害(VCI)患者认知功能及生活质量的影响。方法:将2018年3月-2020年3月笔者所在医院收治的90例VCI患者纳入研究,以随机数表将其分为对照组和观察组,均为45例。其中对照组常规药物治疗,观察组常规药物治疗+卒中单元综合治疗,观察两组患者干预前、干预后认知功能、生活质量水平变化及对患者负性情绪的影响。结果:干预前,两组患者的MMSE、MoCA、ADL量表对比差异无统计学意义(P>0.05);干预3个月后观察组患者的MMSE、MoCA量表评分高于对照组,ADL量表评分低于对照组,差异有统计学意义(P<0.05)。干预前两组患者SDS、SAS量表评分对比差异无统计学意义(P>0.05);干预3个月后观察组患者SDS、SAS量表评分低于对照组,差异有统计学意义(P<0.05)。结论:借助卒中单元综合治疗可显著改善VCI患者的认知功能、生活质量、负性情绪,对患者疾病预后有积极影响。Objective:To explore the effect of stroke unit comprehensive treatment on cognitive function and quality of life of patients with vascular cognitive impairment(VCI).Method:A total of 90 cases of VCI patients admitted to our hospital from March 2018 to March 2020 were included in the study,and they were divided into a control group and an observation group with a random number table,both of which were 45 cases.Among them,conventional drug treatment in the control group and conventional drug treatment+stroke unit comprehensive treatment in the observation group were used to observe the changes of cognitive function,quality of life level and the negative emotions on patients before and after intervention in both groups.Result:Before the intervention,there were no significant differences in MMSE,MOCA and ADL between the two groups(P>0.05).After three months of intervention,the scores of MMSE and MOCA in the observation group were higher than those in the control group,and the scores of ADL were lower than those in the control group(P<0.05).Before the intervention,there were no significant differences in scores of SDS and SAS between the two groups(P>0.05).After three months of intervention,the scores of SDS and SAS in the observation group were lower than those in the control group(P<0.05).Conclusion:The comprehensive treatment of stroke unit can significantly improve the cognitive function,quality of life and negative emotions of patients with VCI,and has a positive effect on the prognosis.

关 键 词：血管性认知功能损害 卒中单元综合治疗 认知功能 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]