多层次执行功能训练对改善脑出血患者认知功能及运动功能的影响

目的 探讨多层次执行功能训练对改善脑出血患者认知功能及运动功能的影响。 方法 选取2018年1-12月我院神经内科收治的脑出血患者86例,根据随机数字表法将患者分为观察组(n=43)及对照组(n=43),对照组行神经内科常规性训练,观察组在对照组基础上辅以多层次执行功能训练,包括中枢执行功能训练、定势转换训练、工作记忆训练等,分别于训练前、训练6周后采用蒙特利尔认知评估量表(Montreal cognitive assessment scale,MoCA)、简易智力状态检查量表(mini-mental state examination scale, MMSE)、Barthel指数、Fugl-Meyer运动功能评分(Fugl-Meyer motor function score,FMA)及世界卫生组织生活质量评定量表(world health organization quality of life rating scale, WHO-QOL-100)对2组认知功能、运动功能及生活质量进行评价。 结果 干预后,观察组MoCA评分、MMSE评分、Barthel指数、FMA评分均高于对照组(t=6.236,P<0.001; t=4.727,P<0.001; t=12.084,P<0.001; t=7.750,P<0.001)。观察组生理维度、心理维度、社会关系维度、独立性维度、环境维度、精神维度评分高于对照组(P<0.05)。 结论 多层次执行功能综合训练能有效提高脑出血患者认知功能及运动功能,从而改善患者生活质量。

Effects of multi-level executive function training on improving cognitive function and motor function of patients with cerebral hemorrhage

Objective To explore the effect of multi-level executive function training on improving the cognitive and motor function of patients with cerebral hemorrhage. Methods Totally 86 patients with cerebral hemorrhage admitted to our hospital in 2018 were enrolled and randomly divided into an observation group (n=43) and a control group (n=43) according to the random number table. Both groups were given routine training, while the observation group was additionally provided with the multi-level executive function training including the central executive function training, fixed-point conversion training and working memory training. The cognitive function, motor function and life quality of both groups were evaluated using the Montreal cognitive assessment scale (MoCA), mini-mental state examination scale (MMSE), Bathel index, Fugl-Meyer motor function score (FMA), and the world health organization quality of life rating scale (WHO-QOL-100) before and after the 6-week intervention. Results After intervention, the MoCA score, MMSE score, Barthel index and FMA score of the observation group were significantly higher than those of the control group (t=6.236, P<0.001; t=4.727, P<0.001; t=12.084, P<0.001; t=7.750, P<0.001). The scores of the physiological, psychological, social relationship, independence, environmental and mental dimension of the observation group were significantly higher than those of the control group (P<0.05). Conclusion The comprehensive multi-level executive function training can effectively improve the cognitive and motor function of patients with cerebral hemorrhage, improve their life quality.