CAJ | 학술논문

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、Fusl-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、Fugl-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.
목적 관찰사구강복훈련대뇌졸중환자인지공능적영향.방법 선택뇌졸중환자30례위치료조,재사구진행규범강복치료;령선하속위생참적뇌졸중환자30례위대조조,지진행매주일차적강복지도.량조균불진행전문적인지공능강복훈련.훈련전、훈련후4주급8주분별용간역지능상태검사(MMSE)량표、Fusl-Meyer량표급개량Banhel지수대환자인지、운동공능분급급일상생활활동능력진행평정.관찰량조환자적료효.결과 량조환자훈련4주시Fugl-Meyer량표평분급Banhel지수무명현차이(P>0.05),MMSE 평분차이유통계학의의(P<0.05);8주시,량조환자지간MMSE、Fugl-Meyer량표급Barthel지수차이균유통계학의의(균P<0.05).결론 사구강복훈련불부능개선환자적운동공능급일상생활능력,환능개선환자적인지공능.
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.