【摘要】 目的探讨心理行为干预对血管性痴呆(VD)患者的认知康复效果。方法将56例轻、中度VD[简易智力状态量表(MMSE)8～22分]患者随机分为研究组23例,对照组23例,进行为期6个月临床治疗观察。结果研究组与对照组MMSE、日常生活自理量表(ADL)评分在治疗后3个月和6个月均下降,但研究组评分下降显著(P<0.01)。结论在小剂量药物治疗的基础上,持续有计划地对轻、中度VD患者进行心理行为干预训练,患者的认知功能和日常生活自理能力改善更加明显,而药物不良反应较轻。此训练经济、方便,患者及家属容易接受和坚持。更多还原

【Abstract】 ObjectiveTo explore the cognitive rehabilitation effect of psychological behavior intervention treatment in vascular dementia(VD) patients. MethodsThe 56 light to moderate cases with VD [simple mental status scale(MMSE) 8~22 points] were randomly divided into the research group and the control group,each group have 23 cases.All patients accepted 6 month treatment.ResultsThe MMSE,daily life self-care scale(ADL) scores 3 months and after 6 months treatment of the research group was more obviously decreased than that of the control group(P<0.01).ConclusionCombine small doses of drugs and behavior intervention training in light to moderate VD patients continued in a planned way,the patients’ cognitive functions and daily self-care skill improve more evident,and their adverse drug reactions are lighter.And the behavior intervention training is economic,convenient,and is easy to accepted and persistence by the patient and their family.更多还原