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目的:探讨脑卒中早期认知干预对患者认知功能及日常生活活动能力的影响。方法:按入院顺序随机将80例脑卒中患者分为干预组40例和对照组40例,对照组进行常规药物治疗和康复训练,干预组在对照组基础上进行认知功能训练。比较两组患者在入组时和治疗1个月后的改良Barthel指数(MBI)及简易精神状态量表(MMSE)评分。结果:1个月后,干预组改良Barthel指数(71.75±18.06);MMSE评分分别为(24.62±6.21),与治疗前、对照组比较,差异均有统计学意义(P<0.05)。结论:早期认知干预治疗能改善卒中患者的认知功能,提高日常生活自理能力。
Objective: To investigate the effect of early cognitive intervention on cognitive function and activities of daily living in patients with stroke. Methods: According to the sequence of hospital admission, 80 stroke patients were randomly divided into intervention group (n = 40) and control group (n = 40). The control group was given routine drug treatment and rehabilitation training. The intervention group was given cognitive training based on the control group. The Modified Barthel Index (MBI) and Mini-Mental Performance Scale (MMSE) scores were compared between the two groups at enrollment and one month after treatment. Results: After 1 month, Barthel index (71.75 ± 18.06) and MMSE score (24.62 ± 6.21) in the intervention group were significantly different from those in the control group (P <0.05). Conclusion: Early cognitive intervention can improve the cognitive function of stroke patients and improve their daily living ability.