运动疗法联合娱乐作业疗法对脑卒中患者记忆功能的影响

目的探讨运动疗法联合娱乐作业疗法对脑卒中患者记忆功能的影响。方法选取2012年9月至2013年8月在华北石油管理局总医院神经内科住院的符合纳入标准的患者80例，随机分为对照组和干预组（各40例）。对照组进行常规的药物治疗；干预组在常规药物治疗的基础上增加1h／次、2次／周的运动锻炼和1h／次、2次／周的娱乐作业疗法，共干预3个月，分别于0、3个月运用RivemeadⅡ行为记忆测验量表（共13项）对所有受试者进行记忆功能的测试。结果最终进入对照组32例，干预组35例。两组患者在年龄、性别、受教育程度、受损部位、是否首次患病等方面差异无统计学意义（P〉0．05）；两组在干预前Rivermead单项初步评分及总标准分值差异无统计学意义（P〉0．05），具有可比性。对照组：干预后回忆姓名、回忆被藏物品、脸部再认、路线延迟回忆的得分高于干预前，差异有统计学意义（P〈0．05）。干预组：干预后除图片再认、路线延迟回忆外，其余各项得分均高于干预前，差异有统计学意义（P〈0．05）；干预后干预组除图片再认、脸部再认、路线延迟回忆外，其余均高于对照组，差异有统计学意义（P〈0．05）。结论运动锻炼联合娱乐疗法可以增强慢性脑卒中患者的记忆功能，改善认知能力，提高生存质量。

Effects of exercise and entertainment therapy on memory function of patients with stroke

Objective To investigate the effects of exercise and entertainment therapy on memory function of patients with stroke. Methods With the inclusion criteria, 80 patients who were selected from the department of Neurology in the North china petroleum general hospital, from September 2012 to August 2013, were randomly divided into the intervention group and the control group. Patients in the control group participated in the three months program of exercise for two hours and recreation for one hour every time weekly. Memory functions with all subjects were assessed at baseline and three months by Rivermead Behavioural Memory Test. Results There were no statistically significant difference between two groups in age, gender, education level, first/recurrent stroke, years since stroke, affected hemisphere, RBMT-Ⅱ original score and the total standard score （P〉0.05）. Compari- son in control group, after the interventionrecall the name, recall the hidden items, recognition the face, delayed recall route were higher than before the intervention, except time judgment test and the total score, there were sta- tistical significance （P〈0.05）. Comparison in intervention group, except recognizethe image and delayed recall the route, the rest scores were higher than before the intervention and the difference were statistically significant （P〈 0.05）. Comparison between the group after the intervention, recall the name, recaU the hidden items, recall ap- pointment, immediately recalls the story, delayed reeallthe story, immediate recall route, immediately recall let- ters, orientation and Rivermead standard scores in the intervention group were higher than the control group, there were statistically significant （P〈0.05）. Conclusion Exercise and entertainment therapy are able to improve the memory function of patients with stroke, to improve their cognitive ability, to enhance the quality of life.