认知障碍对脑卒中病人康复结局的影响  

Influence of Cognition Disturbances on the Rehabilitation Outcome of Patients With Cerebral Apoplexy

作　　者：梁志[1] 赵超男[2] 董云英[2] 朱翠平[1] 

机构地区：[1]北京军医学院,100071 [2]北京博爱医院,100077

出　　处：《护理研究》2004年第1期43-44,共2页Chinese Nursing Research

摘　　要：目的 :探讨脑卒中病人入院时的认知状态对其康复结局的影响。方法 :采用回顾性研究及简明精神量表对 3 11例脑卒中病人进行描述性统计及评定。结果 :认知障碍组和认知完好组病人MADL增加 无差异 (P =0 .12 ) ,MMSE入院 与MADL增加 不相关 (r =-0 .0 2 ,P =0 .67) ;认知障碍的脑卒中病人平均每天的MADL增加 较小 (r =0 .15 ,P =0 .0 4) ,MM SE入院 与MADL出院 呈正相关 (r =0 .18,P =0 .0 0 )。结论 :虽然认知障碍对脑卒中病人的功能改善无影响 ,但认知障碍者康复效率较低 。Objective: to probe into the influence of cognition state of cerebral apoplexy patients at their admission on their final rehabilitation outcome. Method: data of a total of 311 cases of cerebral apoplexy were analyzed and evaluated descriptively and statistically by adopting both retrospective study and simple psyche scale. Results: in terms of moter activity of daily life(MADL) increment, there was no significant difference between patients with cognition disorder and patients with well cognition (P=0.12). There was no correlation between mini-mental state examination(MMSE) of patients at their admission and MADL increment (r=-0.02,P=0.67). Cerebral apoplexy patients had relatively small daily average MADL increment(r=0.15,P=0.04). It showed a positive correlation between MMSE of patients at admission and MADL of patients at their discharge(r=0.18,P=0.00).Conclusion: cognition disorder of cerebral apoplexy patients had little influence on their function improvement. However, cerebral apoplexy patients with cognition disorder had lower rehabilitation efficacy and poor functional status at their discharge.

关 键 词：认知障碍 康复结局 日常生活活动能力 

分 类 号：R49[医药卫生—康复医学]