综合训练对脑卒中患者轻度认知功能障碍的影响

Effects of comprehensive training on mild cognitive impairment in patients with stroke

目的 探讨综合训练对脑卒中患者轻度认知功能障碍的影响.方法 将入选的70例脑卒中MCI患者随机分为对照组35例和干预组35例,对照组维持原有治疗及护理,观察组进行综合训练.干预前后用蒙特利尔认知评估量表（MoCA）、日常生活能力Barthel （MBI）指数评价脑卒中患者MCI的变化情况.结果 干预后,干预组MBI评分[（55.71±5.08）分]优于对照组[（53.65±5.78）分]及干预前[（52.59±5.62）分],干预组MOCA评分[（23.37±2.40）分]优于对照组[（21.73±2.43）分]及干预前[（21.77±2.53）分],差异具有统计学意义（P＜0.05）.结论 进行综合训练可以改善脑卒中患者的认知功能,减轻社会及患者家庭负担,提高生活质量.

Objective To explore the comprehensive training effects of mild cognitive impairment （MCI） in patients with cerebral apoplexy.Methods Selected 70 cases of cerebral apoplexy patients with MCI were randomly divided into control group（n=35） and intervention group （n=35）.The patients in control group maintained the original treatment and nursing,and the comprehensive training was used in intervention group.Before and after the intervention Montreal cognitive assessment scale （MoCA）,daily life ability Barthel index （MBI） were used to evaluate the change of MCI patients.Results After training,the score of MBI in the intervention group（55.71±5.08） was significantly higher than that of before training （52.59±5.62） and the control group（53.65±5.78）.After training,the score of MoCA in the intervention group（23.37±2.40）was significantly higher than that of before training （21.77±2.53）and the control group（21.73±2.43）.Conclusion Comprehensive training can improve cognitive function in patients with cerebral apoplexy,ease the burden on society and the family,and improve the quality of life.