卒中后认知障碍的临床干预体会

Clinical intervention of cognitive impairment after stroke

目的:探讨卒中后认知障碍的临床干预。方法:收治卒中后认知障碍患者110例,分为对照组和研究组。对照组采用盐酸多奈哌齐治疗,研究组在对照组基础上加用早期认知训练,比较两组治疗效果。结果:研究组治疗效果和干预后简易精神状态量表评分、MOCA量表评分、日常生活能力量表评分均优于对照组(P<0.05)。结论:卒中后认知障碍早期给予药物和认知训练,可改善患者认知功能。

Objective:To explore the clinical intervention of cognitive impairment after stroke.Methods:110 cases of stroke patients with cognitive impairment were selected.They were divided into the control group and the study group.The control group was treated with donepezil hydrochloride,and the study group added with cognitive training on the basis of the control group.We compared the therapeutic effect of two groups.Results:In the study group,the treatment effect and prognosis,Mini Mental State Scale score,MOCA scale score, and daily living ability scale score after intervention were better than the control group(P<0.05).Conclusion:Early medication and cognitive training can improve cognitive function in patients with post-stroke cognitive impairment.