CAJ | 학술논문

目的：探讨和研究综合训练法在治疗脑卒中后认知功能障碍患者中的疗效。方法研究对象选取为2011-01—2014-01河北北方学院附属第二医院收治的300例脑卒中后认知功能障碍患者，根据入院单双号进行随机分组，对照组150例患者采用常规训练措施，观察组150例患者则采用综合训练，两组患者在用药治疗方案上均保持一致。分别对两组患者训练前、训练1个月、训练2个月时的认知功能情况进行统计对比，分别采用简易智能状态检查量表( MMSE )、Fugl-Meyer量表以及改良Barthel指数对患者的认知、运动以及生活能力进行评定。结果在训练前两组患者的各项评定指标均无明显差异(P＞0.05)；训练1个月观察组患者的MMSE评分为(18.97±6.47)分，显著高于对照组的(13.24±4.10)分，差异具有统计学意义(P＜0.05)；训练2个月观察组患者的MMSE、Fugl-Meyer以及Barthel评分分别为(24.97±5.47)分、(57.66±8.67)分、(65.55±8.68)分，均显著高于对照组的(17.24±7.10)分、(34.64±8.56)分、(43.23±5.76)分，差异具有统计学意义(P＜0.05)。结论长期应用综合训练法能够有效的改善患者的认知、运动及生活功能，提高患者的生活质量，但短期训练仅能改善认知功能，需根据患者需要适当调整训练时间。
목적：탐토화연구종합훈련법재치료뇌졸중후인지공능장애환자중적료효。방법연구대상선취위2011-01—2014-01하북북방학원부속제이의원수치적300례뇌졸중후인지공능장애환자，근거입원단쌍호진행수궤분조，대조조150례환자채용상규훈련조시，관찰조150례환자칙채용종합훈련，량조환자재용약치료방안상균보지일치。분별대량조환자훈련전、훈련1개월、훈련2개월시적인지공능정황진행통계대비，분별채용간역지능상태검사량표( MMSE )、Fugl-Meyer량표이급개량Barthel지수대환자적인지、운동이급생활능력진행평정。결과재훈련전량조환자적각항평정지표균무명현차이(P＞0.05)；훈련1개월관찰조환자적MMSE평분위(18.97±6.47)분，현저고우대조조적(13.24±4.10)분，차이구유통계학의의(P＜0.05)；훈련2개월관찰조환자적MMSE、Fugl-Meyer이급Barthel평분분별위(24.97±5.47)분、(57.66±8.67)분、(65.55±8.68)분，균현저고우대조조적(17.24±7.10)분、(34.64±8.56)분、(43.23±5.76)분，차이구유통계학의의(P＜0.05)。결론장기응용종합훈련법능구유효적개선환자적인지、운동급생활공능，제고환자적생활질량，단단기훈련부능개선인지공능，수근거환자수요괄당조정훈련시간。
Objective To explore and study the curative effects of com bined training in the treatm ent of sufferers w ith cognitive disorder after stroke.Methods 300 sufferers w ith cognitive disorder after stroke adm itted to our sanato-rium from January 2011 to January 2014 were selected and random ly divided into control group and observation group according to the odd or even num ber,w ith 150 cases in each group .The control group were given conventional train-ing ,while the observation group were given com bined training .Both groups shared the sam e m edication treatm ent.cog-nitive function of both groups were statistically com pared before training and one and tw o m onths after training .Mi-ni-m ental state exam ination scale(MMSE ),Fugl-Meyer scale and m odified Barthel index(MBI)were adopted to conduct cognitive,moving and living ability assessm ent.Results The assessm ent indexes before training in both groups had no significant difference (P>0.05).A fter one m onth of training,the MMSE score of the observation group was (18.97± 6.47),which was significantly higher than the control group of(13.24 ±4.10),w ith differences of statistical signifi-cance (P<0.05).A fter tw o m onths of training,the scores of MMSE ,Fugl-Meyer and Barthel respectively were (24 .97 ± 5 .47 ),(57 .66 ± 8 .67 ),and (65 .55 ± 8 .68 ),which were significantly higher than the control group of(17 .24 ± 7.10),(34.64±8.56),and(43.23±5.76),w ith differences of statistical significance(P<0.05).Conclusion Long-term application of com bined training m ethod can effectively im prove the cognition ,m ovem ent and life function ,im prove the life quality of sufferers,but short-term training can only im prove cognitive function ,so the training tim e should be adjusted according to the need of sufferers.