摘要
目的观察中医药综合干预措施防治卒中后认知功能障碍的有效性。方法将160例卒中后轻、中度认知功能障碍患者随机分为2组,干预组80例(脱落4例)进行中医药综合干预,对照组80例(脱落6例)予药物及康复干预。2组分别在干预前、干预3个月后及卒中1年后进行简明智能状态检查表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分和日常生活活动能力量表(ADL)评分评价临床疗效。结果2组干预3个月后和卒中1年后MMSE评分、MoCA评分及ADL评分均较本组干预前提高(P<0.05)。2组卒中1年后MMSE评分、MoCA评分及ADL评分较本组干预3个月后均显著提高(P<0.05)。干预组干预3个月后和卒中1年后MMSE评分、MoCA评分、ADL评分均较对照组同期明显提高(P<0.05)。且认知功能的改善与患者日常生活活动能力的提高呈正相关。结论中医药综合干预能提高社区卒中后认知功能障碍患者的MMSE评分、MoCA评分和ADL评分,能在一定程度上改善患者的认知功能水平及日常生活活动能力,全面提高患者的生存质量。
Objective To observe the effectiveness of Traditional Chinese Medicine （TCM） integrated treatment programon prevention and treatment of cognitive impairment after stroke in commnity. Methods 160 patients with mild and moderate cognitive impairment after stroke were randomly divided into two groups. 80 cases （4 cases fell off） in intervention group were treated by TCM integrated treatment program, and 80 cases（6 cases fell off） in control group were treated by medicine and rehabilitation. The Mini Mental Status Examination （ MMSE）, the Montreal Cognitive Assessment scale （MoCA） and Activities of Daily Living （ADL） before and after 3 months intervention and 1 year after stroke were conducted to evaluate the clinical curative effect. Results The scores of MMSE, MoCA and ADL after 3 months intervention and 1 year after stroke were increased in two groups （P 〈 0.05）. The scores of MMSE, MoCA and ADL1 year after stroke were higher than those after 3 months intervention in two groups （P 〈 0.05）. The scores of MMSE, MoCA and ADL after 3 months intervention and 1 year after stroke were higher than those in control group at the same period （P 〈 0.05）. The improvement of cognitive function was positively cor- related with the improvement of daily living activity. Conclusion TCM integrated treatment program can increase MMSE, MoCA and ADL on cognitive impairment after stroke in community, can improve the level of cognitive function and daily living activities in a certain extent, and comprehensively improve the patient＇s quality of life.
出处
《河北中医》
2017年第5期688-691,共4页
Hebei Journal of Traditional Chinese Medicine
关键词
卒中
并发症
认知障碍
中医疗法
Stroke
Complications
Cognitive impairment
Traditional Chinese medicine therapy
