【摘要】 目的探讨早期康复治疗对脑卒中患者认知功能障碍的发生及疗效,并观察对患者日常生活活动能力(ADL)作用。方法选择120例脑卒中患者,随机分为对照组和治疗组,每组60例。分别于治疗前24h及治疗4周后采用简易智能状态检查量表(MMSE)、神经功能缺损评分量表(NDS)及Barthel指数(BI)进行评定。结果治疗4周后,治疗组认知功能障碍的发生率是15.25%,对照组为40.35%,2组比较差异有统计学意义(P<0.05);与对照组比较,治疗组的MMSE[(19.58±6.68)分vs(23.58±5.32)分]、NDS[(18.20±7.39)分vs(11.58±6.28)分]和BI[(49.65±14.90)分vs(75.68±22.32)分]评分明显改善(P<0.05)。结论早期康复训练干预可减少脑卒中后认知功能障碍的发生,能改善脑卒中患者认知能力,提高ADL,促进患者神经功能康复。更多还原

【Abstract】 Objective To study the effect of early rehabilitation therapy on cognition impairment and daily life activities in stroke patients.Methods One hundred and twenty stroke patients were randomly divided into control group(n=60)and treatment group(n=60).Their cognition impairment and daily life activities were scored following the MMSE,NDS and BI at 24hbefore treatment and at week 4after treatment,respectively.Results The incidence of cognition impairment was significantly lower in treatment group than in control group(15.25%vs 40.35%,P<0.05)while the MMSE,NDS and BI scores were significantly higher in treatment group than in control group at week 4after treatment(P<0.05).Conclusion Early rehabilitation training can improve the cognition and daily life activities,promote the recovery of neurological function in stroke patients by reducing the incidence of cognition impairment.更多还原