计算机辅助认知康复结合小组认知训练对脑卒中患者认知功能的疗效

Effect of Computer-assisted Cognitive Rehabilitation Combined with Group Cognitive Training on Cognitive Function of Stroke Patients

目的:观察计算机辅助认知康复结合小组认知训练对脑卒中后认知功能障碍的疗效。方法::60例脑卒中后认知功能障碍患者,随机分为4组,每组各15例。对照组:常规治疗;实验组1:常规治疗+计算机辅助认知训练;实验组2:常规治疗+小组认知康复训练;实验组3:常规治疗+计算机辅助认知训练+小组认知康复训练。每组均按不同的治疗方法治疗8周,比较各组治疗前、治疗4周后、治疗8周后蒙特利尔认知评测量表(MoCA)、洛文斯顿认知评定成套测验评定表(LOTCA)、改良Barthel指数等评分的差异。结果:治疗8周后,研究组患者MoCA、LOTCA及改良Barthel指数均较治疗前显著提高,且实验组3更高于其它组(P<0.05)。结论:计算机辅助认知康复结合小组认知训练对脑卒中后认知障碍患者的认知功能效果明显,值得临床推广应用。

Objective:To observe the effect of computer-assisted cognitive rehabilitation combined with group cognitive training on cognitive function in patients with post-stroke cognitive impairment.Method:Sixty patients with cognitive impairment after stroke were randomly divided into four groups,15 in each group.The experimental group 1:conventional treatment+computer-aided cognitive training;the experimental group 2:conventional treatment+group cognitive rehabilitation training;the experimental group 3:conventional treatment+computer-aided cognitive training+group cognitive rehabilitation training;the control group:conventional treatment.Each group was treated for 8 weeks according to different treatment methods.The differences of montreal cognitive assessment scale(MoCA),lovingston cognitive assessment assessment test set(LOTCA)and modified Barthel index(ADL)before treatment,after treatment for 4 weeks and after treatment for 8 weeks were compared.Results:After 8 weeks of treatment,MoCA,LOTCA and improved Barthel index in the study group were significantly higher than those before treatment,and the experimental group 3 was higher than other groups(P<0.05).Conclusion:Computer-assisted cognitive rehabilitation combined with group cognitive training has obvious effect on cognitive function of patients with cognitive impairment after stroke,which is suitable for clinical application.