认知功能训练对脑卒中后血管性认知障碍的临床研究

发布时间：2018-06-13 09:42

本文选题：脑卒中 + 血管性认知障碍　；参考：《黑龙江中医药大学》2014年硕士论文

【摘要】：目的：观察认知功能训练对脑卒中后血管性认知障碍(vascular cognitive impairment VCI)患者认知功能及日常生活活动能力的影响方法：临床研究共纳入60例VCI患者,随机分为2组,实验组与对照组,每组各30例。对照组给予入院基础治疗、针灸治疗、口服日常治疗量尼莫地平治疗；治疗组在对照组基础上给予患者认知功能训练。两组均以8周为治疗周期,结束后观察两组患者蒙特利尔认知评估量表(montreal cognitive assessment, MoCA)、简易智能精神状态量表(mini mental state examination,MMSE)、日常生活能力(activity of daily life,ADL)的评分变化情况。结果： 1.治疗组治疗前后MoCA评分经t检验P0.05,存在显著统计学差异；对照组治疗前后MoCA评分经t检验P0.05,存在统计学差异；治疗组与对照组治疗后MoCA评分经t检验P0.05,存在显著统计学差异。两种治疗方法对于VCI患者的MoCA评分均有改善作用,但治疗组优于对照组。 2.治疗组治疗前后MMSE评分经t检验P0.05,存在显著统计学差异；治疗组与对照组治疗后MMSE评分经t检验P0.05,存在统计学差异。在MMSE评分改善方面,治疗组明显优于对照组 3.治疗组治疗前后ADL评分经t检验P0.05,存在显著统计学差异；治疗组与对照组治疗后ADL评分经t检验P0.05,存在统计学差异。在改善VCI患者ADL评分上,治疗组优于对照组。结论：认知功能训练可有效改善脑卒中后血管性认知障碍患者的认知功能及日常生活活动能力。
[Abstract]:Objective: to observe the effect of cognitive function training on cognitive function and activities of daily living (ADL) in patients with vascular cognitive impairment (VCI) after stroke. Methods: 60 patients with VCI were randomly divided into two groups. There were 30 cases in each group. The control group was treated with admission basic treatment, acupuncture treatment, oral daily treatment of nimodipine, while the treatment group was given cognitive function training on the basis of the control group. The two groups were treated for 8 weeks. After the end, the scores of the Montreal cognitive Assessment scale (MCA), the mini mental state examination (MMSE) and the activity of daily Life (ADL) were observed. Results: 1. There was significant difference in MoCA score before and after treatment between the treatment group and the control group by t test (P0.05), the MoCA score before and after treatment in the control group was significantly different from that in the control group by t test (P0.05), and there was significant difference in the MoCA score between the treatment group and the control group by t test (P0.05). The two treatments improved the MoCA score of VCI patients, but the treatment group was better than the control group. 2. There was significant difference in MMSE score before and after treatment between the treatment group and the control group by t test (P 0.05), and there was statistical difference between the treatment group and the control group after treatment (P 0.05). The improvement of MMSE score in the treatment group was significantly better than that in the control group. Before and after treatment, there was significant difference in ADL score between treatment group and control group by t test (P0.05), and there was statistical difference between treatment group and control group after treatment (P0.05). In improving the ADL score of VCI patients, the treatment group was superior to the control group. Conclusion: cognitive function training can effectively improve the cognitive function and activities of daily living in patients with vascular cognitive impairment after stroke.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3;R49

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