基于“互联网+”的认知康复训练在老年脑小血管病伴OSAHS认知障碍患者中的应用研究  

Application of cognitive rehabilitation training based on“Internet+”in elderly patients with cerebral small vascular disease complicated with OSAHS cognitive impairment

作　　者：马美晨 李向华 陈玉 白亚芳 田晓静 田三胜 Ma Meichen;Li Xianghua;Chen Yu;Bai Yafang;Tian Xiaojing;Tian Sansheng(Department of Neurology,People s Hospital of Cangzhou City,Cangzhou,Hebei,061000,P.R.China;Department of Nursing,People s Hospital of Cangzhou City,Cangzhou,Hebei,061000,P.R.China)

机构地区：[1]沧州市人民医院神经内科,河北沧州061000 [2]沧州市人民医院护理部,河北沧州061000

出　　处：《老年医学与保健》2024年第5期1333-1337,共5页Geriatrics & Health Care

基　　金：2022年度河北省医学科学研究课题计划项目(20220300)。

摘　　要：目的研究通过分析“互联网+”模式下的认知康复训练在老年脑小血管病(CSVD)伴阻塞性呼吸暂停低通气综合征(OSAHS)认知障碍患者的疗效,以期为临床患者的院外干预提供方法。方法回顾性选择2022年1月—2023年6月在沧州市人民医院接受治疗的120例老年CSVD合并OSAHS认知障碍患者,依据患者不同的干预方式分为观察组和对照组,每组60例。对照组采取常规的护理干预,观察组在对照组的基础上应用“互联网+”模式下的认知康复训练。观察并比较2组干预前后认知功能、生活能力等变化。结果干预3个月后,2组患者MoCA量表、MMSE量表、ADL量表评分均高于同组干预前(P<0.05),且观察组MoCA量表、MMSE量表、ADL量表评分均高于对照组(P<0.05);2组患者CysC、Hcy水平均低于同组干预前(P<0.05),但2组间差异均无统计学意义(P>0.05)。结论“互联网+”模式下的认知康复训练对老年CSVD合并OSAHS认知障碍患者效果显著,可提高患者的认知功能与生活自理能力,具有一定的临床应用价值。Objective To analyze the effects of cognitive rehabilitation training under the“Internet+”model in elderly patients with cerebral small vascular disease(CSVD)complicated with obstructive apnea hypopnea syndrome(OSAHS)cognitive impairment,and provide methods for out of hospital intervention of clinical patients.Methods 120 elderly CSVD patients complicated with OSAHS cognitive impairment treated in People s Hospital of Cangzhou City from January 2022 to June 2023 were retrospectively selected.They were divided into observation group and control group according to different intervention methods,with 60 cases in each group.The control group received routine nursing intervention,while the observation group received cognitive rehabilitation training under the“Internet+”model on the basis of the control group.The changes of cognitive function and life ability before and after intervention were observed and compared between the two groups.Results After 3 months of intervention,the scores of MoCA scale,MMSE scale and ADL scale of both groups were higher than those of the same group before intervention,and the observation group was higher than the control group(P<0.05).After 3 months of intervention,the levels of CysC and Hcy of both groups were lower than those of the same group before intervention(P<0.05),but there was no difference between the two groups(P>0.05).Conclusion The cognitive rehabilitation training under the“Internet+”model has a significant effect on elderly CSVD patients complicated with OSAHS cognitive impairment.It can improve the cognitive function and self-care ability of patients,and has certain clinical application value.

关 键 词：老年 脑小血管病 阻塞性呼吸暂停低通气综合征 “互联网+”模式 认知功能 认知障碍 生活自理能力 

分 类 号：R743[医药卫生—神经病学与精神病学] R766[医药卫生—临床医学]