蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
9期
1174-1177
,共4页
脑卒中%工娱治疗%认知障碍
腦卒中%工娛治療%認知障礙
뇌졸중%공오치료%인지장애
stroke%recreation therapy%cognitive disorder
目的：：探讨工娱治在脑卒中后认知障碍的临床价值。方法：选取脑卒中后认知障碍患者78例，按照随机数字表法分为对照组和观察组各39例。对照组给予针灸、尼莫地平联合肢体康复治疗；观察组在对照组的基础上实施工娱治疗。分别于治疗前，治疗后4、8、12周采用简明精神状态检查表( MMSE)及神经行为认知状况检查表( NCSE)评估患者病情及临床疗效。结果：2组患者治疗后4~12周MMSE评分均较治疗前增加(P<0.05~P<0.01)；且观察组MMSE均高于对照组(P<0.05)。治疗后对照组患者的神经行为认知状况除4周与8周时定向力、专注力、语言命名和语言复述评分均无显著变化外(P>0.05)，其他各项评分均较治疗前改善(P<0.05~P<0.01)；与治疗前比较，观察组患者除4周时专注力评分与治疗前差异无统计学意义(P>0.05)外，其他各个时间点的神经行为认知状况评分均得到改善(P<0.05~P<0.01)；观察组除4周时专注力、语言理解、语言命名、语言复述及8周时推理判断能力评分与对照组差异均无统计学意义(P>0.05)外，其余各个单项评分均高于对照组(P<0.05~P<0.01)。结论：工娱治疗联合传统治疗可明显改善脑卒中后认知障碍患者的各项认知功能。
目的：：探討工娛治在腦卒中後認知障礙的臨床價值。方法：選取腦卒中後認知障礙患者78例，按照隨機數字錶法分為對照組和觀察組各39例。對照組給予針灸、尼莫地平聯閤肢體康複治療；觀察組在對照組的基礎上實施工娛治療。分彆于治療前，治療後4、8、12週採用簡明精神狀態檢查錶( MMSE)及神經行為認知狀況檢查錶( NCSE)評估患者病情及臨床療效。結果：2組患者治療後4~12週MMSE評分均較治療前增加(P<0.05~P<0.01)；且觀察組MMSE均高于對照組(P<0.05)。治療後對照組患者的神經行為認知狀況除4週與8週時定嚮力、專註力、語言命名和語言複述評分均無顯著變化外(P>0.05)，其他各項評分均較治療前改善(P<0.05~P<0.01)；與治療前比較，觀察組患者除4週時專註力評分與治療前差異無統計學意義(P>0.05)外，其他各箇時間點的神經行為認知狀況評分均得到改善(P<0.05~P<0.01)；觀察組除4週時專註力、語言理解、語言命名、語言複述及8週時推理判斷能力評分與對照組差異均無統計學意義(P>0.05)外，其餘各箇單項評分均高于對照組(P<0.05~P<0.01)。結論：工娛治療聯閤傳統治療可明顯改善腦卒中後認知障礙患者的各項認知功能。
목적：：탐토공오치재뇌졸중후인지장애적림상개치。방법：선취뇌졸중후인지장애환자78례，안조수궤수자표법분위대조조화관찰조각39례。대조조급여침구、니막지평연합지체강복치료；관찰조재대조조적기출상실시공오치료。분별우치료전，치료후4、8、12주채용간명정신상태검사표( MMSE)급신경행위인지상황검사표( NCSE)평고환자병정급림상료효。결과：2조환자치료후4~12주MMSE평분균교치료전증가(P<0.05~P<0.01)；차관찰조MMSE균고우대조조(P<0.05)。치료후대조조환자적신경행위인지상황제4주여8주시정향력、전주력、어언명명화어언복술평분균무현저변화외(P>0.05)，기타각항평분균교치료전개선(P<0.05~P<0.01)；여치료전비교，관찰조환자제4주시전주력평분여치료전차이무통계학의의(P>0.05)외，기타각개시간점적신경행위인지상황평분균득도개선(P<0.05~P<0.01)；관찰조제4주시전주력、어언리해、어언명명、어언복술급8주시추리판단능력평분여대조조차이균무통계학의의(P>0.05)외，기여각개단항평분균고우대조조(P<0.05~P<0.01)。결론：공오치료연합전통치료가명현개선뇌졸중후인지장애환자적각항인지공능。
Objective:To discuss the clinical value of using recreation therapy in cognitive disorder after stroke. Methods:From March 2010 to April 2014 in our hospital 78 cases of patients with cognitive impairment after stroke were chosen and divided into the control group and the observation group using random number method ( 39 cases in each group );The control group were given acupuncture,nimodipine in joint with limb rehabilitation treatment,while on basis of that the observation group were given recreation therapy;And respectively before treatment,4 weeks,8 weeks,12 weeks after treatment with concise mental state check table( MMSE) and neurobehavioral cognitive status checklist( NCSE) of all patients were investigated to evaluate the clinical curative effects. Results:Two groups patients after 4~12 weeks MMSE rates all increased compared with before treatment increased(P<0. 05 to P<0. 01);MMSE in the observation group were higher(P < 0. 05). Neurobehavioral cognitive status of patients in the control group after treatment,except when 4 weeks and 8 weeks orientation,concentration and language name and language negative ratings than before treatment improved(P<0. 05 to P <0. 01);compared with before treatment,the observation group in addition to patients was not statistically significant when mindfulness 4 weeks score before treatment difference(P > 0. 05),the other at each time point of neurobehavioral cognitive status score were improved ( P <0. 05 to P <0. 01 );4 weeks when the observation group concentration, language comprehension,language name,reasoning ability to judge scores the control group showed no significant difference(P>0. 05) when the language repeat and 8 weeks,the rest of each individual scores were higher(P<0. 05 to P<0. 01 ). Conclusions:Using recreation therapy combined with traditional therapy could obviously improve the cognitive function in patients with cognitive impairment after stroke.
