认知功能训练对老年脑梗死患者运动功能和日常生活能力的影响

Impact of cognitive function training on motor function and daily living ability for elderly cerebral infarction patients

目的探讨认知功能训练对老年脑梗死(CVA)患者运动功能和日常生活能力的影响。方法选取2017年1月~2019年1月我院收治的60例老年CVA患者作为研究对象,按照随机数字表法分为对照组(n=30)与研究组(n=30)。对照组给予常规药物治疗和康复训练,研究组在对照组的基础上实施认知功能训练,分别在干预前、干预6、12周后,由接受过相关培训的康复医学科医生,使用蒙特利尔认知评估量表(MoCA)与简易智能状态检查量表(MMSE)、Fugl-Meyer运动功能评分法(FMA)、Berg平衡量表(BBS)、Barthel指数(BI)分别对患者的认知功能、运动功能及日常生活能力进行评定。结果干预前,两组的MoCA、MMSE、FMA、BBS、BI评分比较,差异无统计学意义(P>0.05);干预6及12周后,两组的MoCA、MMSE、FMA以及BBS、BI评分高于干预前,且研究组的MoCA、MMSE、FMA、BBS、BI评分高于对照组,差异均有统计学意义(P<0.05)。结论对老年CVA患者在常规康复训练的基础上实施认知功能训练,有助于延缓或控制其认知障碍,而提高患者的运动功能与日常生活能力,改善老年患者的生活质量,临床应用前景广阔。

Objective To analyze the impact of cognitive function training on motor function and daily living ability for elderly cerebral infarction(CVA)patients.Methods A total of 60 elderly CVA patients from January 2017 to January 2019 treated in our hospital were selected as the research objects.They were divided into control group(n=30)and study group(n=30)according to random number table method.The control group took the conventional drug therapy and rehabilitation training;on the basis,the study group took the cognitive function training.Before intervention,after 6 and 12 weeks of intervention,patient′s cognitive function,motor function and daily living ability were appraised through Montreal cognitive assessment(MoCA),mini-mental state examination(MMSE),Fugl-Meyer assessment of motor function(FMA),Berg balance scale(BBS)and Barthel index(BI).Results Before intervention,MoCA,MMSE,FMA,BBS and BI scores between two groups were not significantly different(P>0.05);after 6 and 12 weeks of intervention,MoCA,MMSE,FMA,BBS,BI scores of two groups were higher than those before intervention,and MoCA,MMSE,FMA,BBS and BI scores in the study group were higher than those in the control group,with statistical differences(P<0.05).Conclusion The conventional rehabilitation training combined with cognitive function training can delay or control the progression of cognitive disorder to improve patient′s motor function,daily living ability,and quality of life.Its application has broad prospects.