中西医结合卒中单元管理模式改善脑梗死恢复期患者非痴呆型认知功能障碍作用.docVIP

中西医结合卒中单元管理模式改善脑梗死恢复期患者非痴呆型认知功能障碍的作用 　　[摘要] 目的 探讨中西医结合卒中单元管理模式改善脑梗死恢复期患者非痴呆型?J知功能障碍的作用。 方法 选取脑梗死恢复期非痴呆型认知功能障碍患者98例，随机将其分为中西医组和西医组各49例。西医组予以西医卒中单元管理模式，包括药物治疗、健康教育、心理康复、肢体活动训练及认知功能训练。中西医组在西医组基础上予以中西医结合卒中单元管理模式，两组均干预12周。观察并比较两组干预前后认知功能指标[蒙特利尔认知评估量表（MOCA）、画钟试验和积木试验]的变化，并比较其临床效果。 结果 干预12周后，两组MOCA、画钟试验和积木试验评分均较干预前明显上升（t值分别为2.45、2.29、2.35、3.47、2.99、3.25，P0.05或P0.01），且中西医组上升幅度较西医组更明显（t值分别为2.34、2.21、2.28，P0.05）；同时中西医组认知功能总改善率为93.88，明显优于西医组的79.59%（χ2=4.35，P0.05）。 结论 中西医结合卒中单元管理模式用于干预治疗脑梗死恢复期非痴呆型认知功能障碍患者的疗效确切，能明显延缓患者非痴呆型认知功能下降，改善其认知功能。 　　[关键词] 脑梗死恢复期；非痴呆型认知功能障碍；卒中单元管理模式；中西医结合；认知功能 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1673-9701（2017）26-0011-03 　　The effect of management mode of integrated traditional Chinese and Western medicine stroke unit on the improvement of non-dementia cognitive impairment in patients during recovery period after cerebral infarction 　　LUO Yanhong1 WANG Haiying2 LIN Li2 　　1.Department of Internal Medicine， Wenling Chinese Medicine Hospital in Zhejiang Province， Wenling 317500， China；2.Department of Internal Medicine， Taizhou City Enze Center（Group） Luqiao Hospital in Zhejiang Province， Taizhou 317000， China 　　[Abstract] Objective To explore the effect of management mode of integrated traditional Chinese and western medicine stroke unit on the improvement of non-dementia cognitive impairment in patients during recovery period after cerebral infarction. Methods 98 non-dementia cognitive impairment patients during recovery period after cerebral infarction were enrolled in this study. They were randomly divided into traditional Chinese and western medicine group（n=49） and western medicine group（n=49）. Western medicine group was treated with the western medicine stroke unit management model， including drug therapy， health education， psychological rehabilitation， physical activity training and cognitive function training.The traditional Chinese and western medicine group was given the management model of traditional Chinese and western medicine stroke unit