强化视频互动训练对脑卒中后非痴呆型血管性认知功能障碍患者的影响

发布时间：2018-03-13 00:09

本文选题：卒中　切入点：认知障碍　出处：《中国全科医学》2016年27期 　论文类型：期刊论文

【摘要】：目的观察强化视频互动训练对脑卒中后非痴呆型血管性认知功能障碍(VCIND)的影响。方法选取2013年11月—2015年9月在安徽省立医院康复医学科住院的符合纳入标准的脑卒中后VCIND患者60例,按照随机数字表法分为研究组和对照组,各30例。两组患者均给予常规治疗,包括营养神经、改善脑功能等药物治疗及进行常规运动功能康复训练;研究组患者在常规治疗基础上进行由专业人员指导的强化视频互动训练,患者家属也接受专业的培训和指导,并一起参加训练。强化视频互动训练60 min/次,1次/d,5次/周。比较两组患者训练前、训练1个月后蒙特利尔认知评估量表(Mo CA)和Barthel指数(BI)评分。结果训练前对照组、研究组Mo CA评分分别为(19.1±2.4)分、(19.5±2.5)分,训练1个月后对照组、研究组Mo CA评分分别为(21.4±2.4)分、(23.7±2.3)分;训练前对照组、研究组BI评分分别为(73.2±11.9)分、(74.3±13.2)分,训练1个月后对照组、研究组BI评分分别为(77.7±11.3)分、(85.8±8.2)分。训练前两组患者Mo CA、BI评分比较,差异无统计学意义(t值分别为0.633、0.359,P0.05);训练后研究组患者Mo CA、BI评分均高于对照组(t值分别为3.774、3.215,P0.01)。结论强化视频互动训练能有效改善脑卒中后VCIND患者的认知功能及日常生活活动能力。
[Abstract]:Objective to observe the effect of intensive video interactive training on VCIND in patients with non-dementia vascular cognitive impairment after stroke. Methods from November 2013 to September 2015, the patients admitted to the Department of Rehabilitation Medicine in Anhui Provincial Hospital were selected. 60 patients with VCIND after stroke, According to the method of random number table, the patients were divided into study group and control group, 30 cases in each group. The patients in both groups were given routine treatment, including nutrition nerve, improving brain function and rehabilitation training of routine motor function. The patients in the study group received intensive video interactive training directed by professionals on the basis of routine treatment, and the patients' families also received professional training and guidance. The two groups were compared before training and 1 month after training. The scores of Montreal Cognitive Assessment scale (MOA) and Barthel Index (BI) were compared before and after training. The scores of Mo CA in the study group were 19.1 卤2.4) and 19.5 卤2.5) respectively. After one month of training, the scores of Mo CA in the study group were 21.4 卤2.4) and 23.7 卤2.3 respectively, while in the control group, the BI scores were 73.2 卤11.9 and 74.3 卤13.2respectively, respectively, and those in the control group were 74.3 卤13.2 after one month of training. The BI scores of the study group were 77.7 卤11.3 and 85.8 卤8.2 respectively. There was no significant difference between the two groups (P 0.05), and the scores of Mo CAG BI in the study group were higher than those in the control group (P 0.01). Conclusion intensive video interactive training can effectively improve the cognitive function and activities of daily living in patients with VCIND after cerebral apoplexy. [WT5 "HZ] [WT5" BZ] [WT5 "BZ] [WT5BZ] the scores of the patients in the study group were higher than those in the control group (3.774 卤3.215).
【作者单位】：安徽省立医院康复医学科;
【分类号】：R749.13;R49

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