浅析卒中后认知障碍的早期康复治疗.docVIP

精品论文 参考文献 浅析卒中后认知障碍的早期康复治疗 大庆油田总医院集团龙南医院 163453 摘要：目的 探讨并讨论卒中后认知障碍早期康复治疗对患者康复效果的影响。 方法 此次研究的对象是选取2013年1—12月该院收治的88例确诊并开始治疗的脑卒中患者，将其临床资料进行回顾性分析，并随机分为观察和对照两组，每组44例。对照组患者进行规范、系统的康复治疗与指导，观察组在对照组治疗的基础上再进行专门认知康复训练，并使用简易智能状态检查（mini-mental state examination， MMSE） 量表、运动功能和ADL 能力评分： 分别采用Fugl-Meyer 分级及改良Barthel 指数评分对患者进行效果比较。结果 康复治疗3个月后观察组患者的MMSE评分为（25.9plusmn;1.71）分、Fugl-Meyer评分（56.92plusmn;1.86） 分、Barthel评分（68.13plusmn;3.64） 分；对照组患者的MMSE评分为（21.68plusmn;1.7） 分、Fugl-Meyer评分（41.22plusmn;1.47） 分、Barthel评分（51.56plusmn;1.97）分，差异有统计学意义（Plt; 0.05），观察组患者康复效果优于对照组。结论 早期康复治疗对脑卒中患者的认知功能障碍有明显的改善作用。值得临床应用。 关键词：脑卒中；认知障碍；康复干预 [Abstract] Objective To explore and discuss the effect of early rehabilitation therapy on the rehabilitation of patients with cognitive impairment after stroke. The object of this study is the method of stroke patients from 2013 1 to December 88 patients diagnosed and starting treatment, the retrospective analysis of the clinical data, were randomly divided into observation and control group two, 44 cases in each group. The control and guidance system, standardized rehabilitation treatment group with the observation group, special cognitive rehabilitation training on the basis of control group treatment and use of the mini mental state examination (Mini-Mental State, examination, MMSE) scale, motor function and ADL ability score: using Fugl-Meyer classification and modified Barthel index score effect comparison for patients. The results of rehabilitation treatment for 3 months after the observation group of patients with MMSE score (25.9 + 1.71), Fugl-Meyer score (56.92 + 1.86), Barthel score (68.13 + 3.64); the control group of patients with MMSE score (21.68 + 1.7), Fugl-Meyer score (41.22 + 1.47) points, Barthel score (51.56 + 1.97), the difference was statistically significant (Plt; 0.05), the observation group was superior to control group patients rehabilitation. Conclusion early rehabilitation treatment has a significant improvement in cognitive function in p