移动智能认知训练对社区卒中后认知功能障碍者康复效果的影响  

Effects of mobile intelligent cognitive training on the rehabilitation in patients with post-stroke cognitive impairment in the community Download Fulltext

作　　者：韩凯月 李江毅 陈宝迪 刘佳杰 刘影 张皓[1,2] HAN Kaiyue;LI Jiangyi;CHEN Baodi(Capital Medical University School of Rehabilitation Medicine,Beijing,100068)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院 [3]北京市东城区康扶一二三健康训练中心 [4]北京市羊坊店医院

出　　处：《中国康复医学杂志》2024年第11期1651-1655,1661,共6页Chinese Journal of Rehabilitation Medicine

基　　金：首都卫生发展科研专项项目(2020-1-6011)。

摘　　要：目的:探讨移动智能认知训练(MICT)对社区卒中后轻中度认知功能障碍患者认知功能、日常生活活动能力和生活质量的影响。方法:将92例社区卒中后轻中度认知功能障碍患者随机分为试验组(n=46)和对照组(n=46)。两组均接受综合管理,试验组在对照组基础上给予MICT,共12周。治疗前、治疗6周、治疗12周、治疗结束后随访1个月时,采用简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)、前瞻回溯记忆问卷(PRMQ)、改良Barthel指数(MBI)、功能活动问卷(FAQ)、生活质量指数(QLI)进行评价。结果:治疗前,两组各项评分均无显著性差异(P>0.05)。治疗6周后,两组患者MMSE、PRMQ、MBI、FAQ和QLI评分均改善(P<0.05),试验组MoCA、MBI和QLI评分均高于对照组(P<0.05);治疗12周后和随访1个月时,两组患者MMSE、MoCA、PRMQ、MBI、FAQ和QLI评分均明显改善(P<0.05),且试验组各项评分均优于对照组(P<0.05)。结论:MICT可改善社区卒中后轻中度认知功能障碍患者的认知功能、日常生活活动能力和生活质量,疗效可至少持续1个月。Objective:To investigate the effects of mobile intelligent cognitive training(MICT)on cognitive function,activities of daily living,and quality of life of patients with mild to moderate cognitive impairment after stroke in the community.Method:Ninty-two patients with mild to moderate cognitive impairment after stroke in the community were randomly divided into experimental group(n=46)and control group(n=46).Both groups received comprehensive management,and the experimental group received additional MICT for 12 weeks.The Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA),Prospective and Retrospective Memory Questionnaire(PRMQ),Modified Barthel Index(MBI),Functional Activities Questionnaire(FAQ),and Quality of Life Index(QLI)were assessed before,4 weeks and 8 weeks after treatment,and 1-month follow-up after the end of treatment.Result:Before treatment,there was no significant difference in all scores between the two groups(P>0.05).After 6 weeks of treatment,the MMSE,PRMQ,MBI,FAQ,and QLI scores of the two groups were improved(P<0.05),and the MoCA,MBI,and QLI scores of the experimental group were higher than those of the control group(P<0.05);After 12 weeks of treatment and 1 month of follow-up,the scores of MMSE,MoCA,PRMQ,MBI,FAQ,and QLI were significantly improved in two groups(P<0.05),and all scores of the experimental group were better than those of the control group(P<0.05).Conclusion:MICT can improve cognitive function,activities of daily living,and quality of life in patients with mild to moderate cognitive impairment after stroke in the community,with efficacy lasting at least 1 month.

关 键 词：脑卒中 认知功能障碍 移动智能认知训练 社区 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]