一种新型认知障碍诊治系统用于卒中后认知障碍康复治疗的疗效观察

发布时间：2018-03-08 17:07

本文选题：认知功能障碍　切入点：认知障碍诊治系统　出处：《中国康复医学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:观察认知障碍诊治系统ZM3.1对卒中后认知功能障碍患者的康复疗效。方法:入选50例脑卒中后认知功能障碍患者,采用单盲随机对照方法分为试验组和对照组,每组25例,其中试验组予以认知障碍诊治系统ZM3.1训练系统进行认知功能训练,对照组采用传统认知功能训练,均治疗4周,治疗前后采用简易智能状态量表(mini-mental state examination,MMSE)评定,比较分析治疗前后患者时间定向力、地点定向力、复述能力、计算能力、记忆能力、辨认能力、理解能力、表达能力、结构模仿能力9项认知功能亚项能力。结果:(1)试验组治疗后总评分高于治疗前,且时间定向力、地点定向力、复述能力、计算能力、记忆能力、理解能力等认知功能亚项评分高于治疗前,差异均具有显著性意义(P0.05);(2)对照组治疗后总评分高于治疗前,且时间定向力、地点定向力、记忆能力、理解能力等认知功能亚项评分高于治疗前,差异均具有显著性意义(P0.05);(3)治疗后试验组在时间定向力、计算能力等认知功能亚项的改善优于对照组(P0.05)。结论:认知障碍诊治系统ZM3.1的训练系统治疗可改善脑卒中后认知功能障碍,与传统认知康复训练相比,在时间定向力和计算能力改善方面具有一定的优势。
[Abstract]:Objective: To investigate the diagnosis and treatment of cognitive impairment of ZM3.1 system on the rehabilitation effect of patients with cognitive impairment after stroke. Methods: 50 patients with cognitive impairment in patients after stroke, using a single blind randomized controlled method was divided into experimental group and control group, 25 cases in each group, the experimental group received cognitive disorder diagnosis and treatment system of ZM3.1 training system for cognitive function training, the control group used the traditional cognitive training, were treated for 4 weeks, before and after treatment with MMSE (Mini-Mental State Examination, MMSE) evaluation, comparative analysis before and after the treatment with time to force, disorientation, retelling ability, computation ability, memory ability, cognitive ability, comprehension ability, expression ability, structure the ability to imitate 9 cognitive function subitems ability. Results: (1) the total score of the experimental group after treatment than those before treatment, and time orientation, place orientation, retelling ability, computation ability, remember The memory ability, understanding ability and cognitive function subitems score higher than that before treatment, the differences were significant (P0.05); (2) the total score is higher than that of control group after treatment before treatment, and time orientation, place orientation, memory ability, ability to understand the cognitive functions such as sub item score higher than that before treatment, the difference were significant (P0.05); (3) after treatment in the experimental group, time orientation, computing ability is better than cognitive function subitems control group (P0.05). Conclusion: the training system for the treatment of cognitive disorders diagnosis and treatment system of ZM3.1 can improve cognitive dysfunction after stroke, compared with the traditional cognitive rehabilitation training. At the time of orientation and computation ability improvement has certain advantages.

【作者单位】：广州医科大学附属第二医院;
【基金】：广东省科技计划项目(2014A020215019)
【分类号】：R493;R743.3

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