CAJ | 학술논문

目的观察早期介入计算机辅助认知干预训练与脑梗塞患者运动再学习能力之间的关系.方法将60例脑梗塞患者随机分为常规运动再学习疗法组(对照组)及增加计算机辅助认知训练干预组(治疗组),每天治疗30分钟,20天一疗程,另治疗组每天同时增加认知训练30分钟,治疗前后分别进行Fugl-Meyer评分表、日常生活自理能力表(Barthel Index)及认知障碍诊治系统ZM3.2的评测.数据采用t检验进行统计学分析.结果两组患者治疗前后上述各项指标组间比较,治疗前各项指标评分差异无显著性意义(P＞0.05),而计算机辅助训练后,两组之间Fugl-Meyer及Barthel比较差异有统计学意义(P＜0.05),且治疗组各项评分明显高于对照组.同时,治疗组经计算机辅助训练后,患者认知能力,尤其是执行能力、注意力、记忆力、定向力等方面,评分提高分别达62.24％、37.68％、18.13％及5.93％,另外,年龄＜ 65岁、起病在60天内接受这一训练的患者,其运动再学习能力明显优于年龄较大、起病时间较长的患者,Fugl-Meyer及Barthel比较,t值分别是19.11及5.07,差异有统计学意义(P＜0.05).结论早期计算机辅助认知康复训练可有效地提高肢体康复的能力,同时对年龄较小、接受治疗时间较早的患者效果更好.
목적 관찰조기개입계산궤보조인지간예훈련여뇌경새환자운동재학습능력지간적관계.방법 장60례뇌경새환자수궤분위상규운동재학습요법조(대조조)급증가계산궤보조인지훈련간예조(치료조),매천치료30분종,20천일료정,령치료조매천동시증가인지훈련30분종,치료전후분별진행Fugl-Meyer평분표、일상생활자리능력표(Barthel Index)급인지장애진치계통ZM3.2적평측.수거채용t검험진행통계학분석.결과 량조환자치료전후상술각항지표조간비교,치료전각항지표평분차이무현저성의의(P＞0.05),이계산궤보조훈련후,량조지간Fugl-Meyer급Barthel비교차이유통계학의의(P＜0.05),차치료조각항평분명현고우대조조.동시,치료조경계산궤보조훈련후,환자인지능력,우기시집행능력、주의력、기억력、정향력등방면,평분제고분별체62.24％、37.68％、18.13％급5.93％,령외,년령＜ 65세、기병재60천내접수저일훈련적환자,기운동재학습능력명현우우년령교대、기병시간교장적환자,Fugl-Meyer급Barthel비교,t치분별시19.11급5.07,차이유통계학의의(P＜0.05).결론 조기계산궤보조인지강복훈련가유효지제고지체강복적능력,동시대년령교소、접수치료시간교조적환자효과경호.
Objective To observe the relationship between the early computer-aided cognitive intervention and the movement relearning ability of cerebral infarction patients.Methods 60 patients with cerebral infarction were randomly divided into control group and treatment group.Patients of both groups were treated with conventional movement relearning therapy,and the patients of the treatment group were added computer-aided cognitive intervention training.The treatment for both groups had lasted for 30 minutes per day,and the course of treatment was 20 days,and the treatment group was given extra cognitive training simultaneously.Before and after treatment,Fugl -Meyer,Barthel index and cognitive impairment diagnosis system ZM3.2 were used respectively to evaluate patients in the two groups.Analysis was performed by t test.Results Before treatment,the difference of the above indicators between the control group and the treatment group was not significant (P ＞ 0.05),while after the computer-aided treatment,comparing Fugl-Meyer and Barthel index of the two groups,the t values were 3.4 and 4.436 respectively,with the difference between the two groups being of statistical significance (P ＜ 0.05),and the indicators' grade of the treatment group was much better than that of the control group.At the same time.after the computer-aided training for the treatment group,the grade of the patients' cognitive ability,especially at the aspects of the executive ability,attention,memory,and directional force,had increased by 62.24％,37.68％,18.13％ and 5.93％,respectively.Moreover,for patients below 65 years old and getting the cognitive training within 60 days of disease onset,their movement relearning abilities were much better than those with older age and longer days of disease,and the t value of Fugl-Meyer and Barthel' s comparison were 19.11 and 5.07,respectively,with the difference being statistically significant (P ＜ 0.05).Conclusion Early conventional computer-aided cognitive rehabilitation training can effectively improve the body recovery ability of cerebral infarction patients,and it' s more effective for younger patients and those getting the treatment earlier.