脑梗死后认知功能障碍的康复训练研究

Recovery of cognitive impairment in elderly patients after cerebral infarction

目的对43例脑梗死认知障碍患者进行智力康复护理训练研究,拟探讨认知障碍的治疗对策。方法采用有计划、有目的、规范化、按病情及变化程度进行健康智力训练教育,含视觉成像术、数字记忆、实物名称阅读等。结果智力康复训练组治疗后认知检测评分以25.31±3.49显著高于普通康复训练组的19.48±2.73,(P<0.01);且神经功能缺损评分又以14.18±1.03低于普通组的22.75±1.87,两组差异有统计学意义,(P<0.01)。同组康复训练后认知检测评分也较训练前高,神经功能缺损程度明显改善,(P<0.05),其中智力康复训练组改善更显著,(P<0.01)。结论脑梗死患者不同程度地存在认知功能障碍,早期进行智力康复护理训练不但有提高和促进学习、记忆能力作用,也可明显提高神经缺损功能的康复。

Objective 43 cases of cognitive impairment after brain infarction were carried on intelligence training recovery to investigate the treatment of cognitive impairment. Methods A planned, purposeful, standardized with some degrec of intensity of health intelligence trained education, including skill of the visual formation of image ,digital memory, material object name to read etc. Results After recovering and training treatment intelligence, cognition measures and grades were improved by 25.31±3.49, compared with recovering ordinarily by 19.48±2.73 （P〈0.01）,and the neural function grades flawed or damagedly by 14.18±1.03 which was lower than the ordinary group 22.75± 1.87 （P〈0.01）. The score of cognition after rehabilitation training were higher than that before training,the degree of neurological impairment were obviously improved. （P 〈0.05）Group A were significant improved than the other group. Conclusions On intelligence training and recover in early days,improve and promote ability of study, memory and obviously improve damaged function of the brain.