认知功能训练配合多奈哌齐治疗对脑卒中后认知障碍患者生活质量的影响

Impact of quality of life in patients with cognition impairment after cerebral stroke treated with donepezil combined cognitive function training

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

湖北省黄梅县人民医院神经内科 ;
湖北省人民医院精神卫生中心 ;

摘要
【摘要】目的:探讨认知功能训练配合多奈哌齐对脑卒中后认知障碍患者认知功能和生活治疗质量的影响。方法:选取2014年6月~2016年1月我院收治的68例脑卒中后认知障碍患者作为研究对,随机分为对照组和研究组各34例。两组患者均给予溶栓、抗炎、脱水、降颅压等常规治疗,对照组给予口服多奈哌齐治疗,而研究组则在对照组的基础上配合认知功能训练治疗。于治疗前后对两组患者进行简易精神状态量表(MMSE)、蒙特利尔认知评估量表(MoCA)和日常生活能力量表(ADL)评分,并评估两组患者的临床疗效。于治疗前和治疗后6个月采用脑卒中专门生活质量量表(SS-QOL)对两组患者的生活质量进行评估。结果:研究组治疗的总有效率为88.24%,显著高于对照组的67.65%,两组间差异有统计学意义(P<0.05);研究组患者治疗后的MMSE和MoCA评分分别为(25.79±5.21)分和(24.87±4.96)分,显著高于对照组的(21.58±4.89)分和(21.42±4.21)分,两组间差异有统计学意义(P<0.05);研究组患者治疗后的ADL评分为(28.48±5.06)分,显著低于对照组的(36.72±6.58)分,两组间差异有统计学意义(P<0.05);研究组患者治疗后6个月的SS-QOL评分为(184.76±31.78)分,显著高于对照组的(144.28±24.56)分,两组间差异有统计学意义(P<0.05)。结论:认知功能训练配合多奈哌齐治疗脑卒中后认知障碍可有效改善患者的认知功能,提高患者的日常生活能力和生活质量,值得应用于临床。
Abstract
[Abstract]Objective:To discuss the impact of quality of life in patients with cognition impairment after cerebral stroke treated with donepezil and cognitive function training.Methods:68 patients with cognition impairment after cerebral stroke from June 2014 to January 2016 were randomly selected and divided into 34 patients of them treated with donepezil only were taken as control group,while the other 34 patients treated with donepezil combined cognitive function training were taken as research group.Compared the scores of MMSE, MoCA and ADL before and after treatments with two groups,evaluated the clinical effects on two groups.Compared the score of SS-QOL before and after treatments in 6 months with two groups.Results: The total effective rate was 88.24% in research group,while that in control group was 67.65%( P<0.05);The scores of MMSE and MoCA were (25.79±5.21) and (24.87±4.96) in reseaerch group after treatments ,which were higher than that in control group(P<0.05);The score of ADL was (28.48±5.06) in reseaerch group after treatments,which was lower than that in control group(P<0.05).The score of SS-QOL was (184.76±31.78) in reseaerch group after treatments,which was higher than that in control group(P<0.05).Conclusion:Patients with cognition impairment after cerebral stroke treated with donepezil in treatments of cognitive function training cam improve cognitive function, activity of daily living and quality of life,which is worthy clinical use.
关键词
【关键词】认知功能训练;多奈哌齐;脑卒中;认知障碍;生活质量
KeyWord
[Keywords]Cognition impairment;Cerebral stroke;Donepezil;Cognitive function training;Quality of life
基金项目
页码 250-252
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尤汉生*,毛秀琴,石俊,徐顺生. 认知功能训练配合多奈哌齐治疗对脑卒中后认知障碍患者生活质量的影响 [J]. 国际精神病学杂志. 2017; 44; (2). 250 - 252.

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