认知康复干预对脑梗死恢复期患者认知功能障碍和生活质量的影响

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1、2018-03-2001:26:12中国现代医生2018年1期李静静蔡志琴甘泉陈光［摘耍］戸的探討认知康复干预对脑梗死恢复期患者认知功能障碍和生活质量的影响。方法收集2016年2月〜2017年2月内科门诊就诊的脑梗死恢复期患者70例。釆用抛硕币法分为干预组和对照组各35例。两组酌情予以控制颅内压、血压和血糖、抑制血小板聚集和活化脑细胞等基础治疗。对照组予以常规干预，干预组在对照组基础上予以认知康复干预。两组均干预12周。评估并比较两组治疗前后认知功能指标、日常生活能力和牛活质量变化。结果干预12周后，两组MMSE和M

2、OCA评分均较前明显上升(P<0.05或PvO.01),且干预组治疗后上升较对照组更显著(PvO.05)；同时两组MBI评分和QOL评分均较前明显上升(P<0.05或PvO.01),且干预组治疗后上升较对照组更显着(P<0.05)。结论认知康复干预用于脑梗死恢复期患者可明显改善英认知功能障碍，提高日常生活能力，改善生活质量。［关键词］脑梗死恢复期；认知康复干预；认知功能障碍；牛活质量［中图分类号］R493；R743.33［文献标识码］B［文章编#］1673-9701(2018)01-0085-03Effectofco

3、gnitiverehabilitationinterventiononcognitivedysfunctionandqualityoflifeinpatientswithconvalescentcerebralinfaretionLIJingjinglCAIZhiqin2GANQuanlCHENGuangl1.VIPDepartmentsTaizhouHospitalofTaizhouEnzeMedicalCenter(Group),Taizhou317000,China；2.DepartmentofInternal

4、Medicine,EnzeHospitalofTaizhouEnzeMedicalCenter(Group),Taizhou318050,China［Abstract］ObjectiveToinvestigatetheeffectofcognitiverehabilitationinterventiononcognitivedysfunctionandqualityoflifeinpatientswithconvalescentcerebralinfarction.MethodsAtotalof70patientsw

5、ithconvalescentcerebralinfarctionfromtheoutpatientclinicinthedepartmentofinternalmedicinefromFebruary2016toFebruary2017werecollected.Thepatientsweredividedintotheinterventiongroup(n=35)andthecontrolgroup(n二35)usingcoin-tossed・Thetwogroupsweregivenbasictreatment

6、includingcontrollingintracranialpressure,bloodpressureandbloodglucose,inhibitingplateletaggregationandactivatingbraincells,dependingonthecircumstances.Thecontrolgroupwastreatedwithroutineintervention,whiletheinterventiongroupwasgivencognitiverehabilitationinter

7、ventionbasedonthetreatmentofthecontrolgroup.Bothgroupswereinterventionfor12weeks.Thecognitivefunctionbeforeandaftertreatment,dailylivingabilityandthechangesofqualityoflifebetweenthetwogroupswereassessedandcompared・ResultsTheMMSEandMOCAscoresoftwogroupsincreased

8、significantlyafter12weeksofinterventioncomparedwiththosebeforeintervention(P<0.05orP<0.01)・AndthescoresofMMSEandMOCAincreasedmoresignificantlyintheinterventiongroupthanthose