首页|早期强化认知功能训练对脑卒中后认知功能障碍患者认知功能、血清S100β及NSE水平的影响

早期强化认知功能训练对脑卒中后认知功能障碍患者认知功能、血清S100β及NSE水平的影响

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目的:探究脑卒中后认知功能障碍(PSCI)患者经早期强化认知功能训练干预对认知功能、血清S100β及神经元特异性烯醇化酶(NSE)水平的影响.方法:选取2019年6月—2021年12月郑州大学附属郑州中心医院老年医学科收治的129例脑卒中PSCI患者为研究对象,采用随机数表法分为对照组64例(常规康复干预)和观察组65例(常规康复干预联合早期强化认知功能训练),两组患者均干预治疗6个月.对比两组患者认知功能:训练前后采用蒙特利尔认知评估量表(MoCA)分为注意力、抽象能力和记忆力、视空间执行能力评分;神经因子水平:训练前后血清S100β和NSE水平;照顾负担:干预前后采用照顾者负担量表(ZBI)和照顾者积极感受量表(PAC)评估.结果:干预后,观察组患者注意力、抽象能力、记忆力、视空间执行能力评分均高于对照组,差异有统计学意义(t=7.723、11.873、4.519、7.954,P<0.05);观察组患者ZBI、PAC评分均高于对照组,差异有统计学意义(t=8.083、14.165,P<0.05).观察组患者NSE、S100β水平均低于对照组,差异有统计学意义(t=25.694、4.824,P<0.05).结论:常规康复联合早期强化认知功能对脑卒中PSCI患者干预可有效改善神经因子,降低照顾负担,减轻认知障碍.
Effects of Early Intensive Cognitive Function Training on Cognitive Function,Serum S100β and NSE Levels in Pa-tients with Post-stroke Cognitive Dysfunction
Objective:To investigate the effects of post-stroke cognitive impairment(PSCI)patients on NSE levels,serum S100β and cognitive function after early intensive cognitive training intervention.Methods:129 cases of stroke PSCI patients ad-mitted to the hospital from June 2019 to December 2021 were selected as the study subjects,and were divided into 64 cases in the control group(conventional rehabilitation intervention)and 65 cases in the observation group(conventional rehabilitation interven-tion combined with early intensive cognitive feats)functional training according to the method of randomized numerical table.Both groups were treated for 6 months.Cognitive function(Montreal Cognitive Assessment Scale[MoCA]total score,attention,abstrac-tion and memory,and visuospatial executive ability scores before and after training),neurofactor levels(serum S100β and neu-ron-specific enolase[NSE]levels before and after training),and caregiving burden(caregiver burden assessed before and after the intervention by using the Caregiver Burden Inventory[ZBI]and Caregiver Positive Feelings Scale[PAC])were compared between the two groups.Results:After the intervention,the observation group had higher attention,abstraction,memory,and visuospatial execution scores than the control group,and the difference was statistically significant(t=7.723,11.873,4.519,7.954,P<0.05).ZBI and PAC scores were higher in the observation group than in the control group,and the difference was statistically significant(t=8.083,14.165,P<0.05).The levels of NSE and S100β in the observation group were lower than those in the control group,and the difference was statistically significant(t=25.694,4.824,P<0.05).Conclusion:Conventional rehabilitation combined with early intensive cognitive functioning interventions for stroke patients with PSCI can effectively improve neurofactors,reduce the burden of care,and mitigate cognitive impairment.

Early intensive cognitive function trainingStrokeCognitive dysfunction

陈莉、赵美英、汪桂青

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郑州大学附属郑州中心医院老年医学科,河南 郑州 450000

早期强化认知功能训练 脑卒中 认知功能障碍

河南省医学科技攻关项目河南省医学科技攻关项目

20180207822018020781

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
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