CAJ | 학술논문

[目的]探讨智商测定改良蒙特利尔认知估量表（Improved Montreal cognitive assessment, IMoCA)在评价中药醒脑开窍方对脑出血性卒中患者疗效中的应用价值。[方法]选取128例脑出血患者，术后随机分为醒脑开窍加常规西药治疗组和常规西药治疗对照组，在不同时间进行GOS分级评分和IMoCA评分。[结果]治疗组和对照组的GOS评分分级无区别；而两组间治疗2月以上者的IMoCA评分均有明显差异（P＜0.05）。[结论] IMoCA能更为精确的评价中药醒脑开窍方对出血性脑卒中患者疗效。
[목적]탐토지상측정개량몽특리이인지고량표（Improved Montreal cognitive assessment, IMoCA)재평개중약성뇌개규방대뇌출혈성졸중환자료효중적응용개치。[방법]선취128례뇌출혈환자，술후수궤분위성뇌개규가상규서약치료조화상규서약치료대조조，재불동시간진행GOS분급평분화IMoCA평분。[결과]치료조화대조조적GOS평분분급무구별；이량조간치료2월이상자적IMoCA평분균유명현차이（P＜0.05）。[결론] IMoCA능경위정학적평개중약성뇌개규방대출혈성뇌졸중환자료효。
[Objective] To assess the clinical values of the improved Montreal Cognitive table(Improved Montreal cognitive assessment, IMoCA) in the eval-uation of stroke patients using Xingnao Kaiqiao methods. [Method] 128 patients with cerebral hemorrhage, were grouped by Xingnao Kaiqiao plus con-ventional western medicine group and the conventional western medicine control group, at different times, GOS grading and the improved Montreal table were used to measure the cognitive score. [Results] In the patients using Xingnao Kaiqiao methods, there's no difference between GOS score grad-ing.While the score of each group of iMoCA is significantly different. [Conclusion] The modified form of Montreal cognitive table can more accurately measure the cognitive capability in stroke patients with Xingnao Kaiqiao methods, should be further promoted in the clinic.