《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (07): 432-433.

• 临床康复 • 上一篇    下一篇

轻度血管性痴呆的认知康复效果观察

顾莹1; 吕涌涛1; 孙金娥2; 郇瑛1; 邵琳1   

  1. 1.山东省交通医院神经内科神经康复中心 山东济南市 250031;2.山东省警官医院外一科 山东济南市 250031
  • 收稿日期:2003-04-25 出版日期:2003-07-25 发布日期:2003-07-25

Clinical observation of cognitive rehabilitation on patients with mild vascular dementia

GU Ying,Lü Yong-tao,SUN Jin-e,et al   

  1. Neurology and Rehabilitation Center,Traffic Hospital of Shandong Provience,Jinan 250031,Shandong,China
  • Received:2003-04-25 Published:2003-07-25 Online:2003-07-25

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摘要： 目的观察认知康复对轻度血管性痴呆的疗效。方法 60例轻度血管性痴呆患者随机分为认知康复组(A组,30例)和非认知康复组(B组,30例)。两组均进行药物治疗及根据情况进行运动疗法(PT)、作业疗法(OT)、语言疗法(ST)训练,A组在此基础上加用认知康复训练。对60例患者在治疗前及治疗3个月后,使用洛文斯顿作业疗法用认知功能成套测定(LOTCA )评价认知功能,功能独立性评定(FIM)评价日常生活能力,并进行组间比较。结果A组在认知功能、日常生活能力、主观总体印象方面均较B组有明显改善(P<0.01或P<0.05)。结论认知康复对轻度血管性痴呆有治疗效果。

关键词: 血管性痴呆, 认知, 康复

Abstract: ObjectiveTo observe the effect of cognitive rehabilitation on patients with mild vascular dementia. Methods60 patients with mild vascular dementia were randomly divided into cognitive rehabilitation group(Group A,30 cases) and non-cognitive group (Group B,30 cases).All patients in those groups received medical treatment and PT, OT and ST exercise,and Group A received cognitive rehabilitation exercise additionally. Before and after treatment, the cognitive ability was evaluated with Loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA) and activity of daily living (ADL) with Functional Independence Measure (FIM).ResultsGroup A significantly improved cognitive ability (P<0.01), ADL (P<0.05) and general subjective impression compared with Group B. Conclusions The cognitive rehabilitation exercise is effective on patients with mild vascular dementia.

Key words: vascular dementia, cognition, rehabilitation