摘要
目的:探索规范化三级康复治疗对脑卒中患者认知功能的影响。方法:对52例脑卒中患者在脑梗死和脑出血两个层次上分层,再随机化分成康复治疗组和对照组,康复治疗组给予规范的三级康复治疗,对照组未给予规范的三级康复治疗,但两组的常规内科治疗相同,分别于入组时(V0)、发病后第1个月月末(V1)、第3个月月末(V2)和第6个月月末(V3)采用功能综合评定量表中认知功能评分标准进行评定。结果:除V1阶段两组患者语言表达、解决问题和交流总分,以及V2阶段两组患者语言表达的差异无显著性意义外;两组在V2和V3阶段的语言表达、解决问题和交流总分,V3阶段的语言表达,以及其他各项在各阶段的差异均有显著意义(P<0.05)。康复治疗组认知总分差值明显高于对照组,差异有显著性意义(P<0.05);入组时、1个月、3个月和6个月时康复治疗组患者的认知功能分别相当于正常人的63.17％、70.60％、79.50％和86.43％,而对照组分别为:55.97％、58.33％、64.07％和68.03％,另外,入组时、1个月、3个月和6个月时康复治疗组患者的认知功能分别相当于对照组的112.86％、121.03％、124.09％和127.05％;1个月月末与入组时、3个月月末与入组时和6个月月末与人组时的康复治疗组认知功能总分差值相当于对照组的指数分别是:3.19、2.52和2.23。
Objective:To explore the effects of the program of standardized three stage rehabilitation treatment on the cognitive function in stroke patients with hemiplegia.Method: All 52 patients firstly were brought into two sets: primary cerebral infarction and primary cerebral hemorrhage then were further divided randomly into treated group and controlled group.Patients in the treated group were given standardized three stages' rehabilitation treatment, while those in the controlled group were only given routine internal medicine treatments that were the same as the treated group but without standardized three stages' rehabilitation treatment.All patients would be assessed with the cognition section's evaluation standard of the scale of functional comprehensive assessment (FCA),at the entering time,the end of 1st month, 3rd month and 6th month respectively after stroke.Result:There were no apparent differences between the two groups of patients' scores of verbal ability and the ability of working out a solution and total communicating scores in V1 stage and the scores of the patients' verbal ability in V2 stage,but there were significant differences between the two groups in cognitive items' scores every stage after the selection and verbal ability's scores in V3 stage and the scores of the ability of working out a solution and total communicating scores in V2 and V3 stages. The margins between every stage's total cognitive scores in the treated group were better than those in the controlled group (P<0.05).Compared with normal people,the cognitive function scores of the treated group's were about 63.30% ,70.60% ,79.50% and 86.43% of normal people at the entering time,the end of 1st month,3rd month and 6th month after stroke, but that of the controlled group were about 55.97% ,58.27%, 64.07% and 68.03% of normal people. The patients' cognitive function scores of the treated group were about 113.10%,121.17%,124.09% and 127.05% that of the controlled group at the entering time,the end of 1st month, 3rd month and 6th month after stroke respectively.Conclusion:Standardized three stage rehabilitation could promote stroke patients' cognitive function of every stage obviously.
出处
《中国康复医学杂志》
CAS
CSCD
2004年第11期815-819,共5页
Chinese Journal of Rehabilitation Medicine
基金
国家科委"十五"攻关课题资助项目(2001BA703821)
