成套注意力训练在脑梗死后血管性认知障碍中的应用价值

COMPLETE ATTENTION TRAINING ON FUNCTION OF VASCULAR COGNITIVE IMPAIRMENTAFTER CEREBRAL INFARCTION

目的探讨成套注意力训练在脑梗死后血管性认知障碍恢复中的应用价值。方法对住院脑梗死患者于住院当天用中文版蒙特利尔认知评估量表(MoCA)进行筛选,选取脑梗死后血管性认知障碍患者102例。随机分为干预组53例,对照组49例。自住院第二天开始,对照组常规治疗、护理及一般心理护理,干预组在此基础上,进行成套注意力训练,1次/d,每次50min,连续15d。15次训练结束时对二组患者再进行蒙特利尔量表(MoCA)评估。结果二组患者训练前差异无统计学意义(P>0.05),15次训练结束时二组患者认知障碍均较前好转(P<0.05),组间比较干预组作用更显著(P<0.01)。结论成套注意力训练在脑梗死后血管性认知障碍恢复中作用显著。

Objective To investigate the value of complete sets of attention training in vascular cognitive impairment recovery after cerebral infarction.Methods to screen patients with cerebral infarction on the day in hospital with Chinese Version of the Montreal Cognitive Assessment（MoCA）,after selecting cerebral vascular cognitive impairment in 102 patients.53 patients were randomly divided into intervention group,and 49 patients in control group.Since the second day of hospitalization,to conduct the conventional treatment,psychological caring and general nursing to the control group,on this basis,set attetion training for 15 days,once a day,50 minutes for every time.Then evaluate the 2 groups of patients with Montreal Scale（MoCA）assessment after 15 times training.Results There is no statistical significance before the training（P〉0.05）,after 15 times training,the 2 groups were better in cognitive disorder（P〈0.05）,and the result of intervention group is more significance（P〈0.01）.Conclusions A complete set of attention training has a remarkabal effect to the cerebral vascular cognitive impairment.