首页|认知康复训练结合S-E-T康复疗法对脑卒中后认知障碍患者认知功能、神经功能及运动能力的影响

认知康复训练结合S-E-T康复疗法对脑卒中后认知障碍患者认知功能、神经功能及运动能力的影响

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目的 探究脑卒中后认知障碍(PSCI)患者采用认知康复训练联合悬吊运动训练(S-E-T)康复疗法的效果.方法 选取惠州市中心人民医院 2022 年 1 月—2023 年8月收治的 68 例PSCI患者为研究对象,根据随机数字表法分为对照组及观察组,各 34 例.对照组采用常规康复训练,观察组在此基础上采用认知康复训练结合S-E-T康复疗法.对比两组患者的认知功能[简易智能精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MOCA)]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]及运动功能[Fugl-Meyer运动功能评定量表(FMA)].结果 干预前,两组的MMSE、MOCA评分比较,组间差异无统计学意义(P＞0.05);干预后,观察组的MMSE、MOCA评分分别为(24.62±1.36)分及(24.15±1.13)分,均高于对照组,组间差异有统计学意义(P＜0.05).干预前,两组的NIHSS、FMA评分比较,组间差异无统计学意义(P＞0.05);干预后,观察组的NIHSS评分为(11.75±1.55)分,低于对照组,FMA评分为(26.58±3.25)分,高于对照组,组间差异有统计学意义(P＜0.05).结论 PSCI患者采用认知康复训练结合S-E-T康复疗法,可有效提升其认知功能及神经功能,并促进患者运动能力改善.
Effects of Cognitive Rehabilitation Training Combined with S-E-T Rehabilitation Therapy on Cognition Function,Neurological Function and Motor Ability of Patients with Post-Stroke Cognitive Impairment
Objective To investigate the effect of cognitive rehabilitation combined with sling exercise therapy(S-E-T)on patients with post-stroke cognitive impairment(PSCI).Methods 68 patients with PSCI admitted to Huizhou Central People's Hospital from January 2022 to August 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 34 cases.The control group received conventional rehabilitation training,and the observation group received cognitive rehabilitation training combined with S-E-T rehabilitation therapy on this basis.The cognitive function[Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MOCA)]and neurological function[National Institute of Health Stroke Scale(NIHSS)]and motor function[Fugl-Meyer Assessment Scale(FMA)]of the two groups were compared.Results Before intervention,there were no significant difference in scores of MMSE and MOCA between the two groups(P＞0.05);after intervention,the scores of MMSE and MOCA of the observation group were(24.62±1.36)points and(24.15±1.13)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P＜0.05).Before intervention,there were no significant differ-ence in scores of NIHSS and FMA between the two groups(P＞0.05);after intervention,the NIHSS score of the observation group was(11.75±1.55)points,which was lower than that of the control group,and the FMA score was(26.58±3.25)points,which was higher than that of the control group,and the differences between the groups were statistically significant(P＜0.05).Conclusion The combination of cognitive rehabilitation training and S-E-T rehabilitation therapy for PSCI patients can effectively improve their cognitive and neurological functions,and promote the improvement of patients'motor ability.

Post-stroke cognitive impairmentCognitive rehabilitation trainingSling exercise therapy rehabilitation therapyCognitive functionNeurological functionAthletic ability

方玮、林嘉欣、李萾莹、刘木朋

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惠州市中心人民医院康复医学科,广东惠州 516000

脑卒中后认知功能障碍 认知康复训练 悬吊运动训练康复疗法 认知功能 神经功能 运动能力

惠州市医疗卫生领域科技计划立项项目(2022)

2022CZ010104

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN：
年,卷(期)：2024.5(5)
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