社区康复训练对脑卒中患者认知功能的影响

目的观察社区康复训练对脑卒中患者认知功能的影响。方法选择脑卒中患者30例为治疗组，在社区进行规范康复治疗；另选下属卫生站的脑卒中患者30例为对照组，只进行每周一次的康复指导。两组均不进行专门的认知功能康复训练。训练前、训练后4周及8周分别用简易智能状态检查（MMSE）量表、Vugl-Meyer量表及改良Banhel指数对患者认知、运动功能分级及日常生活活动能力进行评定。观察两组患者的疗效。结果两组患者训练4周时Fugl—Meyer量表评分及Banhel指数无明显差异（P〉0．05），MMSE评分差异有统计学意义（P〈0．05）；8周时，两组患者之间MMSE、rugl—Meyer量表及Barthel指数差异均有统计学意义（均P〈0．05）。结论社区康复训练不仅能改善患者的运动功能及日常生活能力，还能改善患者的认知功能。

Effect of community-based rehabilitation training on cognitive disorders of cerebral apoplexy patients

Objective To study the effects of community-based rehabilitation on cerebral apoplexy patients with cognitive disorders.Methods 30 cases of cerebral apoplexy patients were enrolled according to relevant standards,who were given standard rehabihtation care in Community Health Service Center(training group) ,while another 30 similar cases from subordinate health service stations (control group) given only rehabilitation guidance once a week.Two groups were not do professional cognitive training.All patients were assessed with Mini Mental State Examination( MMSE), Fugl-Meyer Assessment(FMA) and modified Bathel index rating scale(MBI) to evaluate their cognition ,movement function and activity of daily living(ADL) before training as well as after 4-week and 8-week training.Results There was no signficant difference in cognition,movement functions and ADL between training group and control group before treatment(P>0.05).The differences in the assessment of Brounnstrom scale and MBI between two groups after 4-week training were not significant( P > 0.05 ).The scores of Fugl-Meyer scale, MMSE and Barthel index of the training group after 8-week training were significantly higher than those of control group( all P < 0.05 ).Conclusion Community-based rehabilitation training could improve the movement functions and ADL,and cognitive functions of cerebral apoplexy patients.