早期认知功能训练对脑卒中康复的作用

目的评价缺血性脑卒中患者早期认知功能训练的效果,并探讨其作用。方法选择60例缺血性脑卒中患者,按入院顺序分为试验组和对照组各30例。从入院第3天开始,两组均接受常规康复训练,试验组在此基础上加强认知功能训练,训练时间为20d。分别在训练前、训练后第10天和第20天采用简明精神状态检查量表(Mini-mental State Examination,MMSE)评估认知能力,巴氏指数(Barthel Index,BI)评估日常生活活动能力(Activities of Daily Living,ADL)。结果训练前所有患者MMSE和BI评分普遍低下,两组差异没有统计学意义(P>0.05);训练后第10天和第20天,试验组MMSE和BI评分均高于对照组(P<0.05)和本组训练前(P<0.01);对照组训练后第20天的MMSE和BI评分高于训练前(P<0.05)。结论早期认知功能训练能够提高患者的认知能力,促进躯体运动功能恢复和心理康复,增强日常生活自理能力。

Effects of early cognitive training on the rehabilitation of stroke survivors

Objective To evaluate the effects of early cognitive training on the rehabilitation in patients after ischemic stroke.Methods Sixty patients after first episode ischemic stroke were randomly divided into an experimental group and a control group.From the third day of admission,all the patients received routine rehabilitation training.In addition,the patients in the experimental group received cognitive training for 20 days.The patients were measured with Mini-Mental State Examination(MMSE) and Barthel Index(BI) before training and at 10th and 20th day after training.Results Before training,all patients showed low scores of MMSE and BI,and there was no significant difference between the two groups(P>0.05).However,the scores of MMSE and BI in the experimental group at 10th day and 20th day after training were significantly higher than before(P<0.05) and than those of the control group(P<0.01).The scores of MMSE and BI were significantly higher than before at 20th day after training in the control group(P<0.05).Conclusion Early cognitive training can improve the cognitive function and ability of daily living,and promote the recovery of physical function and psychological rehabilitation in patients with stroke.