移动智能认知训练对社区卒中后认知功能障碍者康复效果的影响

关键词：脑卒中  认知功能障碍  移动智能认知训练  社区  康复

Keywords:stroke  cognitive dysfunction  mobile intelligent cognitive training  community  rehabilitation

摘要：

      摘要 目的：探讨移动智能认知训练（MICT）对社区卒中后轻中度认知功能障碍患者认知功能、日常生活活动能力和生活质量的影响。 方法：将92例社区卒中后轻中度认知功能障碍患者随机分为试验组（n=46）和对照组（n=46）。两组均接受综合管理，试验组在对照组基础上给予MICT，共12周。治疗前、治疗6周、治疗12周、治疗结束后随访1个月时，采用简易精神状态检查（MMSE）、蒙特利尔认知评估量表（MoCA）、前瞻回溯记忆问卷（PRMQ）、改良Barthel指数（MBI）、功能活动问卷（FAQ）、生活质量指数（QLI）进行评价。 结果：治疗前，两组各项评分均无显著性差异（P>0.05）。治疗6周后，两组患者MMSE、PRMQ、MBI、FAQ和QLI评分均改善（P<0.05），试验组MoCA、MBI和QLI评分均高于对照组（P<0.05）；治疗12周后和随访1个月时，两组患者MMSE、MoCA、PRMQ、MBI、FAQ和QLI评分均明显改善（P<0.05），且试验组各项评分均优于对照组（P<0.05）。 结论：MICT可改善社区卒中后轻中度认知功能障碍患者的认知功能、日常生活活动能力和生活质量，疗效可至少持续1个月。

Abstract:

      Abstract Objective： To investigate the effects of mobile intelligent cognitive training （MICT） on cognitive function， activities of daily living， and quality of life of patients with mild to moderate cognitive impairment after stroke in the community. Method： Ninty-two patients with mild to moderate cognitive impairment after stroke in the community were randomly divided into experimental group （n=46） and control group （n=46）. Both groups received comprehensive management， and the experimental group received additional MICT for 12 weeks. The Mini-Mental State Examination （MMSE）， Montreal Cognitive Assessment （MoCA）， Prospective and Retrospective Memory Questionnaire （PRMQ）， Modified Barthel Index （MBI）， Functional Activities Questionnaire （FAQ）， and Quality of Life Index （QLI） were assessed before， 4 weeks and 8 weeks after treatment， and 1-month follow-up after the end of treatment. Result： Before treatment， there was no significant difference in all scores between the two groups （P>0.05）. After 6 weeks of treatment， the MMSE， PRMQ， MBI， FAQ， and QLI scores of the two groups were improved （P<0.05）， and the MoCA， MBI， and QLI scores of the experimental group were higher than those of the control group （P<0.05）； After 12 weeks of treatment and 1 month of follow-up， the scores of MMSE， MoCA， PRMQ， MBI， FAQ， and QLI were significantly improved in two groups （P<0.05）， and all scores of the experimental group were better than those of the control group （P<0.05）. Conclusion： MICT can improve cognitive function， activities of daily living，and quality of life in patients with mild to moderate cognitive impairment after stroke in the community，with efficacy lasting at least 1 month.