认知康复干预对脑梗死恢复期患者认知功能障碍和生活质量影响.docVIP

认知康复干预对脑梗死恢复期患者认知功能障碍和生活质量影响 　　[摘要] 目的 探?认知康复干预对脑梗死恢复期患者认知功能障碍和生活质量的影响。 方法 收集2016年2月～2017年2月内科门诊就诊的脑梗死恢复期患者70例。采用抛硬币法分为干预组和对照组各35例。两组酌情予以控制颅内压、血压和血糖、抑制血小板聚集和活化脑细胞等基础治疗。对照组予以常规干预，干预组在对照组基础上予以认知康复干预。两组均干预12周。评估并比较两组治疗前后认知功能指标、日常生活能力和生活质量变化。 结果 干预12周后，两组MMSE和MOCA评分均较前明显上升（P0.05或P0.01），且干预组治疗后上升较对照组更显著（P0.05）；同时两组MBI评分和QOL评分均较前明显上升（P0.05或P0.01），且干预组治疗后上升较对照组更显著（P0.05）。 结论 认知康复干预用于脑梗死恢复期患者可明显改善其认知功能障碍，提高日常生活能力，改善生活质量。 　　[关键词] 脑梗死恢复期；认知康复干预；认知功能障碍；生活质量 　　[中图分类号] R493；R743.33 [文献标识码] B [文章编号] 1673-9701（2018）01-0085-03 　　Effect of cognitive rehabilitation intervention on cognitive dysfunction and quality of life in patients with convalescent cerebral infarction 　　LI Jingjing1 CAI Zhiqin2 GAN Quan1 CHEN Guang1 　　1.VIP Department， Taizhou Hospital of Taizhou Enze Medical Center（Group）， Taizhou 317000， China； 2.Department of Internal Medicine， Enze Hospital of Taizhou Enze Medical Center（Group）， Taizhou 318050， China 　　[Abstract] Objective To investigate the effect of cognitive rehabilitation intervention on cognitive dysfunction and quality of life in patients with convalescent cerebral infarction. Methods A total of 70 patients with convalescent cerebral infarction from the outpatient clinic in the department of internal medicine from February 2016 to February 2017 were collected. The patients were divided into the intervention group（n=35） and the control group（n=35） using coin-tossed. The two groups were given basic treatment including controlling intracranial pressure， blood pressure and blood glucose， inhibiting platelet aggregation and activating brain cells， depending on the circumstances. The control group was treated with routine intervention， while the intervention group was given cognitive rehabilitation intervention based on the treatment of the control group. Both groups were intervention for 12 weeks. The cognitive function before and after treatment， daily living ability and the changes of quality of life between the two groups were assessed and compared