Loewenstern认知评定量表在脑卒中认知障碍中的 - 第三军医大学学报.docVIP

Loewenstein认知评定量表在脑卒中认知障碍中的应用 魏 涛1，黄 颖1，巩尊科2，陈 伟2，韩 良2（221009江苏 徐州,徐州市中心医院:神经内科1，康复科2) [摘要] 目的 探讨Loewenstein 认知评定量表在脑卒中患者认知功能评定及疗效观察中的应用价值。方法 采用MMSE量表筛查脑卒中认知障碍患者，进行治疗前后LOTCA评定并与正常对照组比较。结果 LOTCA总分及各亚项评分均明显低于对照组（P0.01），较治疗前均有不同程度的提高，差异有统计学意义（P0.01） 结论 LOTCA能全面的评定出脑卒中患者的认知障碍程度及特点，反应患者的认知水平，具有较好的临床应用价值 [关键词] 脑卒中；认知障碍；LOTCA评定 The application of Loewenstein occupational therapy cognitive assessment scale in stroke cognitive impairment Tao WEI1, Ying HUANG1, Zunke GONG2, Wei CHEN2, Liang HAN2 (1Department of nerves medical, 2Depatment of rehabilitation, Xuzhou central hospital; Xuzhou, Jiangsu, 221009) [Abstract]: Objective To observe the effect of Loewenstein occupational therapy cognitive assessment (LOTCA) scale on cognitive function evaluation and curative observation in stroke patients. Methods Uses the mini-mental state examination (MMSE) screening stroke cognitive impairment patients, Loewenstein occupational therapy cognitive assessment (LOTCA) were evaluated before and after therapy and compares with the normal control group. Results The total scores and each grading scores of LOTCA in the treatment group were significantly lower than the control group (P0.01). The treatment group after treatment of scores were distinctly better than before treatment (P0.01). Conclusions LOTCA can evaluate comprehensive the stroke patients cognitive impairment degree and characteristic, responded the patients cognitive level and has the good clinical practice value. [Key Words]: Stroke; Cognitive impairment; Loewenstein occupational therapy cognitive assessment 请在英文关键词下方注明基金项目和通信作者的相关英文信息 [基金项目] 徐州市科技计划项目(XM09B087) [通信作者] 巩尊科，E-mail: 脑卒中是临床常见病、多发病，卒中后常发生各种类型和不同程度的认知损害，影响患者的全面康复，因此对认知功能的评定治疗日益受到国内外学者关注[1-2]。目前，用于认知评定的方法很多，但仍没有一个统一公认的标准，神经心理测验量表仍被认为是最直接和有效的方法，但带有一定的主观性，很难客观量化评定指标。LOTCA（Loewenstein occupational therapy cognitive assessment）是近年来应用较为广泛 、较为系统的一种评定量表，检查内容全面、效果肯定,具有良好的信度效度[3]。本研究将LOTCA应用于卒中患者认知功能的评定，并观察其治疗前后的评定结果，探讨Loewenstein 认知评定量表在脑卒中患者认知功能评定及疗效观察中的应用价值，现报道如下。 资料与