首页|任务导向性训练对脑卒中轻度认知障碍患者的临床疗效分析

任务导向性训练对脑卒中轻度认知障碍患者的临床疗效分析

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目的 探讨任务导向性训练对脑卒中轻度认知障碍患者认知及运动功能的影响.方法 选取无锡市中心康复医院 2023 年3-12月收治的 54 例脑卒中患者为研究对象,按随机数字表法将其分为对照组和试验组,各 27 例.对照组采用常规康复干预,试验组采用任务导向性训练干预.比较两组的认知功能、运动功能、日常生活能力及抑郁情绪.结果 干预 6 周后,观察组蒙特利尔认知量表、Fugl-Meyer运动功能评定量表、改良Barthel指数评分均高于对照组,组间差异有统计学意义(P﹤0.05);观察组抑郁自我评价量表评分为(40.48±10.54)分,低于对照组的(47.81±11.29)分,差异有统计学意义(P﹤0.05).结论 脑卒中轻度认知障碍患者进行任务导向性训练可改善患者的认知功能,提高运动功能及日常生活能力,缓解抑郁情绪.
Clinical Effect Analysis of Task-Oriented Training on Stroke Patients with Mild Cognitive Impairment
Objective To explore the effects of task-oriented training on cognitive and motor function in stroke patients with mild cognitive impairment.Methods Fifty-four stroke patients admitted to Wuxi Central Rehabilitation Hospital from March to December 2023 were selected as the research objects,and were divided into a control group and a experimental group according to random number table method,with 27 cases in each group.The control group received routine rehabilitation intervention,and the experimental group received task-oriented training intervention.Cognitive function,motor function,activities of daily living and depressive mood were compared between the two groups.Results After 6 weeks of intervention,the scores of Montreal Cognitive Scale,Fugl-Meyer Motor Function Rating Scale and modified Barthel Index in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the Self-Rating Depression Scale score of the observation group was(40.48±10.54)points,which was lower than(47.81±11.29)points of the control group,and the difference was statistically significant(P﹤0.05).Conclusion Task-Oriented training for stroke patients with mild cognitive impairment can improve their cognitive function,motor function and daily living ability,and alleviate depression.

StrokeCognitive impairmentTask-Oriented trainingRehabilitationActivities of daily living

赵薇薇、黄桂兰、邓国刚、姚望

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无锡市中心康复医院康复治疗科,江苏 无锡 241000

江南大学无锡医学院附属无锡市精神卫生中心康复治疗科,江苏 无锡 214151

脑卒中 认知障碍 任务导向性训练 康复 日常生活能力

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(19)