CAJ | 학술논문

目的：观察个性化认知训练对轻度阿尔茨海默病( AD)患者认知功能的改善效果。方法：选择轻度AD患者40例并随机等分为对照组和观察组。对照组采用常规无差别的认知训练；试验组在评估每个患者认知功能损害的个体情况下进行个性化的认知功能训练,并在入院时、出院时、出院3个月及出院6个月时对两组患者采用简易智力状态检查表( MMSE)、日常生活能力量表( ADL)进行认知功能评价。结果：对照组与试验组患者出院时MMSE及ADL评分较入院时的评分差异均有统计学意义(P<0.05)。出院6个月时两组MMSE及ADL评分差异有统计学意义(P<0.05)。同时个性化认知训练方式对轻度AD患者MMSE,ADL评分的改善幅度大于常规无差别认知训练方式。结论：个性化认知训练及常规无差别认知训练对轻度AD患者的认知功能均具有改善作用,但个性化认知训练能有效地改善患者的认知功能。
목적：관찰개성화인지훈련대경도아이자해묵병( AD)환자인지공능적개선효과。방법：선택경도AD환자40례병수궤등분위대조조화관찰조。대조조채용상규무차별적인지훈련；시험조재평고매개환자인지공능손해적개체정황하진행개성화적인지공능훈련,병재입원시、출원시、출원3개월급출원6개월시대량조환자채용간역지력상태검사표( MMSE)、일상생활능역량표( ADL)진행인지공능평개。결과：대조조여시험조환자출원시MMSE급ADL평분교입원시적평분차이균유통계학의의(P<0.05)。출원6개월시량조MMSE급ADL평분차이유통계학의의(P<0.05)。동시개성화인지훈련방식대경도AD환자MMSE,ADL평분적개선폭도대우상규무차별인지훈련방식。결론：개성화인지훈련급상규무차별인지훈련대경도AD환자적인지공능균구유개선작용,단개성화인지훈련능유효지개선환자적인지공능。
Objective:To investigate the effect of individualized cognitive training in treating Alzheimer′s disease ( AD) . Methods:40 patients with mild AD were randomly divided into the experimental group with individualized cognitive training and the control group with conventional cognitive training. The cog-nitive ability of the two groups were analyzed by MMSE and ADL on hospital admission,discharge,3rd month,6 th month after discharge. Results:There was significant difference of MMSE and ADL between hospital admission and discharge in both the experimental group and the control group (P<0. 05),and there was statistically significance of MMSE and ADL between the experimental group and the control group on 6th month after discharge (P<0. 05). The amplitude of improvement of MMSE and ADL in the experimental group was larger than that in the control group. Conclusion:The cognitive ability of the pa-tients with mild AD could be improved by both individualized cognitive training and conventional cognitive training, but individualized cognitive training was better than conventional cognitive training in improving the cognitive ability.