一种新型认知障碍诊治系统用于卒中后认知障碍康复治疗的疗效观察

关键词：认知功能障碍  认知障碍诊治系统  评估  康复训练

Keywords:cognitive impairment  diagnosis and treatment system of cognitive disorders  evaluation  rehabilitation training

摘要：

      摘要 目的:观察认知障碍诊治系统ZM3.1对卒中后认知功能障碍患者的康复疗效。 方法:入选50例脑卒中后认知功能障碍患者，采用单盲随机对照方法分为试验组和对照组，每组25例，其中试验组予以认知障碍诊治系统ZM3.1训练系统进行认知功能训练，对照组采用传统认知功能训练，均治疗4周，治疗前后采用简易智能状态量表（mini-mental state examination，MMSE）评定，比较分析治疗前后患者时间定向力、地点定向力、复述能力、计算能力、记忆能力、辨认能力、理解能力、表达能力、结构模仿能力9项认知功能亚项能力。 结果：①试验组治疗后总评分高于治疗前，且时间定向力、地点定向力、复述能力、计算能力、记忆能力、理解能力等认知功能亚项评分高于治疗前，差异均具有显著性意义（P＜0.05）；②对照组治疗后总评分高于治疗前，且时间定向力、地点定向力、记忆能力、理解能力等认知功能亚项评分高于治疗前，差异均具有显著性意义（P＜0.05）；③治疗后试验组在时间定向力、计算能力等认知功能亚项的改善优于对照组（P＜0.05）。 结论:认知障碍诊治系统ZM3.1的训练系统治疗可改善脑卒中后认知功能障碍，与传统认知康复训练相比，在时间定向力和计算能力改善方面具有一定的优势。

Abstract:

      Abstract Objective：To observe the effect on cognitive impairment after stroke with the diagnosis and training system ZM3.1. Method：Fifty patients with cognitive impairment after stroke were randomly assigned into the experimental group and the control group,25 patients in each group. The experimental group received training with system ZM3.1 and the control group received traditional training. Patients in both groups were trained for 4 weeks, and evaluated with MMSE before and after treatment. Improvements of cognitive function in nine sub-items were analyzed including time orientation, place orientation, repeat, calculation, memory, recognition, understanding, expression and structure imitation abilities. Result：①After treatment, the total score and scores of time orientation, place orientation, repeat, calculation, memory and understanding ability in the experimental group were higher than before, And the differences of all had statistically significant(P<0.05). ②In the control group, the total score and scores of time orientation, place orientation, memory and understanding ability after treatment were also higher than before with statistical significance(P＜0.05). ③The improvements of time orientation and calculation ability in the experimental group were better than that in the control group(P＜0.05). Conclusion：Cognitive impairments after stroke could be improved after training with ZM3.1. Comparing with traditional cognitive training, ZM3.1 had certain advantages in the improvement of time orientation and calculation ability.