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康复对阿尔茨海默病生活自理能力和认知功能影响的临床研究

Rehabilitation efficacy on ability of daily life and cognition in Alzheimer disease

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【作者】 黄卫卫江冬莲孔俐张泓

【Author】 HUANG Wei wei, JIANG Dong lian, KONG Li, et al (Dept of Geriatric Medicine, Affiliated Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China)

【机构】 华中科技大学同济医学院附属梨园医院老年病科华中科技大学同济医学院附属梨园医院老年病科 武汉430077武汉430077武汉430077

【摘要】 目的 观察康复治疗阿尔茨海默病患者生活自理能力和认知功能的效果。方法 患者随机分为 2组 ,对照组 30例 ,采取常规治疗和护理 ,康复组 31例 ,予日常生活能力训练、认知功能训练 ,连续 8周 ,观察两组患者MMSE、ADAS认知功能、Blessed -Roth日常生活自理能力治疗前后的评分情况。结果  8周康复治疗后 ,康复组日常生活自理部分Blessed -Roth的评分减低 1.5 8分 ,较对照组和治疗前后有显著性差异 (P <0 .0 5 ) ;认知功能部分MMSE和ADAS评分无显著性差异。结论康复治疗可改善AD日常生活自理能力 ,对认知功能无明显效果。

【Abstract】 Objective To investigate the rehabilitation effect on Alzheimer’s ability of daily life and cognition. Methods Sixty one patients with AD were randomly divided into two groups. Group A( n =31)underwent rehabilitation treatment and group B( n =30)did not. The efficacy was judged before and after treatment by the mini mental state examination (MMSE), the Alzheimer’s disease assessment scale cognition (ADAS-Cog) and Blessed-Roth scale. The data were statistically analyzed. Results After the treatment of rehabilitation for 8 weeks, ability of daily life in Blessed-Roth Scores fell down 1.58 ( P <0.05) while the cognitive portion in ADAS-Cog scores and MMSE scores were not significant difference between groups A and B. Conclusion Rehabilitation was effective in the improvement ability of daily life of AD patients, but no effect on cognition.

【关键词】 康复阿尔茨海默病生活质量认知
【Key words】 rehabilitationAlzheimer diseasequality of lifecognition
  • 【文献出处】 山西医科大学学报 ,Journal of Shanxi Medical University , 编辑部邮箱 ,2003年06期
  • 【分类号】R749.16
  • 【下载频次】73
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