早期康复对急性脑卒中患者认知功能的影响

Effect of Early Rehabilitation Therapy on the Cognitive Deficits of Patients with Acute Stroke

目的:探讨早期康复治疗对急性脑卒中患者认知功能的影响。方法:90例急性脑卒中患者分为康复组47例和对照组43例,均予以神经内科常规治疗与护理;康复组同时由经过专业训练的治疗师给予系统的康复训练。治疗前后采用简易精神状态量表(MMSE)、长谷川智力量表(HDS)、韦氏记忆量表(WMS)、临床痴呆量表(CDR)、老年临床评定量表(SCAG)、日常生活能力量表(ADL)定期对2组患者进行认知功能评价。结果:治疗第4周时康复组MMSE、WMS、SCAG、HDS和ADL评分与治疗前比较均明显改善,对照组仅WMS和HDS评分有明显改善(均P<0.05或0.01);治疗8周后,康复组CDR评分下降(P<0.05),对照组MMSE、ADL、SCAG评分出现明显改善(P<0.05或0.01),CDR则无改变。治疗后各时间段各项指标评分比较,康复组均优于对照组(P<0.05)。结论:早期康复治疗对急性脑卒中安全有效,可明显改善脑卒中患者的认知功能。

Objective：To study the effect of early rehabilitation therapy on the cognitive deficits of patients with acute stroke. Methods： Ninety cases of acute stroke were randomly divided into the early rehabilitation group （n = 47） and the control group （n=43）. All of them received routine treatment, but in the early rehabilitation group the patients were treated with systematic rehabilitation training by professional physiotherapists. The two groups were regularly evaluated by MMSE, HDS, WMS, SCAG, ADL and CDR Results：The evaluation scores of MMSE, HDS, WMS, SCAG, ADL and CDR demonstrated that there was significant difference between two groups after treatment （P〈0. 05）, and that there was significant difference in the early rehabilitation group before and after treatment （P〈0. 05 or P〈0. 01）. Conclusion： The early rehabilitation training is very effective in the treatment of patients with acute stroke, and may obviously improve the cognitive function of patients with acute stroke.