执行功能干预训练在中老年脑梗死患者康复治疗中的效果分析

Effectiveness analysis of executive function intervention training in rehabilitation of middle-aged and elderly patients with cerebral infarction

目的探讨执行功能干预训练在中老年脑梗死患者康复治疗中的效果。方法将80例中老年梗死患者随机等分为对照组和观察组,均给予常规药物治疗,仅观察组加用执行功能干预训练;分析两组治疗前、治疗3和6个月的神经缺损情况(NIHSS评分)、日常生活能力(Barthel指数量表)和执行功能(BADS行为学评价测验)。结果观察组治疗后的NIHSS评分和Barthel指数评分均优于对照组(P<0.05);除治疗后3个月的修订六元素外,观察组治疗后的BADS行为学评价测验的其余项目评分均高于对照组(P<0.05)。结论在老年脑梗死患者康复治疗中实施执行功能干预训练有效,可改善神经缺损情况并提高日常生活能力。

Objective To explore the effectiveness of executive function intervention training in the rehabilitation of middle - aged and elderly patients with cerebral infarction. Methods Totally 80 middle - aged and elderly patients with cerebral infarction were randomly divided into two aliquots： control group and observation group. Both groups were given conventional drug therapy, while the observation group received executive function intervention training additionally. The nerve defects （ NIHSS score）, activities of daily living （ Barthel Index Scale） and executive functions （ BADS behavioral assessment tests） were evaluated before treatment, 3 and 6 months after treatment. Results The NIHSS and Barthel score of observation group after treatment were superior to those of control group （ P 〈 0.05 ）. Besides the revised six el- ements at 3 months after treatment, the scores of BADS behavioral evaluation tests of observation group after treatment were higher than those of control group （ P 〈 0.05）. Conclusions It is effective to carry out executive function inter- vention training in the rehabilitation of cerebral infarction.