摘要
目的探讨综合康复治疗对老年高血压伴认知功能障碍患者认知功能及高血压急性发作的影响.方法选择本院2019年1月—2020年12月收治的老年高血压伴认知功能障碍患者80例为研究对象,采用随机数字表法将其分为两组,每组40例.对照组采用常规治疗,观察组在对照组基础上采用综合康复治疗,均治疗12周.比较两组治疗前后的蒙特利尔认知评估量表中文版(MoCA)、精神状态检查量表(MMSE)评分、血压水平及高血压急性发作次数.结果两组治疗前的MoCA及MMSE评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组的MoCA及MMSE评分均高于对照组,组间差异有统计学意义(P<0.05).两组治疗前的舒张压、收缩压比较,组间差异无统计学意义(P>0.05);治疗后,观察组的收缩压和舒张压分别为(120.45±9.56)mmHg、(70.89±7.23)mmHg,均低于对照组,组间差异有统计学意义(P<0.05).观察组的高血压急性发作次数少于对照组,差异有统计学意义(P<0.05).结论老年高血压伴认知功能障碍患者采用综合康复治疗,能够改善其认知功能,降低血压水平,减少高血压急性发作次数,值得临床推广使用.
Objective To investigate the effect of comprehensive rehabilitation therapy on cognitive function and acute hypertension in elderly patients with hypertension and cognitive dysfunction.Methods A total of 80 elderly patients with hypertension and cognitive dysfunction admitted to our hospital from January 2019 to December 2020 were selected as the research subjects.They were divided into two groups by random number table method,with 40 patients in each group.The control group received conventional treatment,and the observation group received comprehensive rehabilitation treatment based on the control group.Both groups were treated for 12 weeks.The Montreal cognitive assessment scale Chinese version(MoCA)score,mental state examination scale(MMSE)score,blood pressure level and times of acute hypertension before and after treatment were compared between the two groups.Results There were no significant differences in MoCA and MMSE scores between the two groups before treatment(P>0.05);after treatment,the MoCA and MMSE scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no significant differences in diastolic blood pressure and systolic blood pressure between the two groups(P>0.05);after treatment,the systolic blood pressure and diastolic blood pressure in the observation group were(120.45±9.56)mmHg and(70.89±7.23)mmHg,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The frequency of acute attacks of hypertension in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive rehabilitation therapy for elderly patients with hypertension and cognitive dysfunction can improve their cognitive function,reduce the level of blood pressure,reduce the frequency of acute hypertension,which is worthy of clinical application.
作者
叶见项欠
完玛土旦
Yejianxiangqian;Wanmatudan(Department of Internal Medicine,Qinghai Tongde Tibetan Hospital,Xining Qinghai,813300,China)
出处
《反射疗法与康复医学》
2021年第24期151-153,158,共4页
Reflexology And Rehabilitation Medicine
关键词
高血压
认知功能障碍
综合康复性治疗
高血压急性发作
Hypertension
Cognitive dysfunction
Comprehensive rehabilitation therapy
Acute onset of hypertension
