| 轻度血管性痴呆的认知康复效果观察 |
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| 引用本文： | 顾莹,吕涌涛,孙金娥,郇瑛,邵琳. 轻度血管性痴呆的认知康复效果观察[J]. 中国康复理论与实践, 2003, 9(7): 432-433 |
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| 作者姓名： | 顾莹 吕涌涛 孙金娥 郇瑛 邵琳 |
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| 作者单位： | 1. 250031,山东济南市,山东省交通医院神经内科神经康复中心
2. 250031,山东济南市,山东省警官医院外一科 |
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| 摘 要： | 目的观察认知康复对轻度血管性痴呆的疗效。方法 60例轻度血管性痴呆患者随机分为认知康复组 (A组 ,3 0例 )和非认知康复组 (B组 ,3 0例 )。两组均进行药物治疗及根据情况进行运动疗法 (PT)、作业疗法 (OT)、语言疗法 (ST)训练 ,A组在此基础上加用认知康复训练。对 60例患者在治疗前及治疗 3个月后 ,使用洛文斯顿作业疗法用认知功能成套测定 (LOTCA )评价认知功能 ,功能独立性评定 (FIM )评价日常生活能力 ,并进行组间比较。结果A组在认知功能、日常生活能力、主观总体印象方面均较B组有明显改善 (P <0 0 1或P <0 0 5 )。结论认知康复对轻度血管性痴呆有治疗效果。
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| 关 键 词： | 血管性痴呆 认知 康复 |
| 文章编号： | 1006-9771(2003)07-0432-02 |
| 修稿时间： | 2003-04-25 |
Clinical observation of cognitive rehabilitation on patients with mild vascular dementia |
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| Abstract: | ObjectiveTo observe the effect of cognitive rehabilitation on patients with mild vascular dementia. Methods60 patients with mild vascular dementia were randomly divided into cognitive rehabilitation group(Group A,30 cases) and non-cognitive group (Group B,30 cases).All patients in those groups received medical treatment and PT, OT and ST exercise,and Group A received cognitive rehabilitation exercise additionally. Before and after treatment , the cognitive ability was evaluated with Loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA ) and activity of daily living (ADL) with Functional Independence Measure (FIM).ResultsGroup A significantly improved cognitive ability (P<0.01), ADL (P<0.05) and general subjective impression compared with Group B. Conclusions The cognitive rehabilitation exercise is effective on patients with mild vascular dementia. |
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| Keywords: | vascular dementia cognition rehabilitation |
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