摘要
目的:探讨早期认知康复训练在脑卒中患者神经功能恢复训练中的应用效果。方法:选取2017年6月-2018年12月笔者所在医院住院部接受康复训练的90例脑卒中恢复期患者,按照随机对照原则分为观察组45例和对照组45例,对照组接受常规治疗与康复护理,观察组在此基础上开展早期认知康复训练,比较两组患者训练前后神经功能缺损程度评分(NIHSS)、蒙特利尔认知评估量表(MoCA)评分、简易精神状态量表(MMSE)评分及生活质量评分变化情况。结果:观察组训练后NIHSS评分低于对照组,MoCA评分、MMSE评分均高于对照组,差异有统计学意义(P<0.05);观察组训练后生理功能评分、躯体功能评分、社会功能评分及心理健康评分均高于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:早期认知康复训练能促进脑卒中患者神经功能和认知能力恢复,提高其生活质量,疗效较好,值得临床推荐。
Objective:To explore the application of early cognitive rehabilitation training in nerve function rehabilitation training of stroke patients. Method:From June 2017 to December 2018,90 cases of stroke convalescence in Fujian Provincial Hospital who received rehabilitation department therapy by rehabilitation training were selected and randomly divided into the observation group 45 cases and the control group 45 cases,the control group was treated by conventional treatment,the observation group was treated by early cognitive rehabilitation training on the basis of the control group,the scores of NIHSS,MoCA, MMSE,quality of life score were compared.Result:The scores of NIHSS in the observation group were lower than those in the control group,the scores of MoCA, MMSE in the observation group were higher than those in the control group(P<0.05).The scores of physiological function,physical function,social function, mental health in the observation group were higher than those in the control group(P<0.05).The total effective rate in the observation group was higher than that in the control group(P<0.05).Conclusion:It can improve the neurological function and cognitive ability for the stroke by early cognitive rehabilitation training,increase the quality of life,it is worthy of clinical recommendation.
作者
陈霞霞
梁汉英
HEN Xiaxia;LIANG Hanying(Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《中外医学研究》
2019年第23期164-166,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
认知康复训练
脑卒中
神经功能
认知能力
Cognitive rehabilitation training
Stroke
Neurological function
Cognitive ability
