【摘要】 目的 分析认知障碍诊治仪（早老干预系统）智能选择训练策略对脑卒中患者认知功能恢复的作用。方法 选取2018年1月—2021年6月在暨南大学附属第一医院总院康复科和东圃院区康复科住院治疗的脑卒中后认知障碍患者100例，按照是否接受认知障碍诊治仪智能选择训练策略分为对照组和治疗组，每组50例。治疗组在常规药物及肢体康复训练的基础上，使用认知障碍诊治仪（早老干预系统）完成智能模式的功能评估和干预，干预的内容是认知障碍诊治仪根据智能评估结果智能选择的训练策略，训练内容包括定向训练、记忆训练、注意训练、算术训练、交流训练和综合训练等。治疗频率为1次/d，每次20 min，每周5次，治疗周期为1个月。对照组给予常规药物和肢体康复治疗，无针对性的认知训练干预。治疗组训练前及训练1个月后采用简易精神状态量表（MMSE）和早老干预系统智能模式评估患者的认知功能；对照组入院时及1个月后采用MMSE评估认知功能。结果 治疗前2组MMSE的评估结果经统计学分析显示，总分及各亚项评分组间比较，差异无统计学意义（P>0.05），说明2组间的认知功能评分具有可比性。治疗1个月后组内比较，治疗组MMSE总分及各亚项评分比治疗前明显提高（P<0.05）。治疗后对照组MMSE总分及亚项中的定向力、记忆力和语言能力较治疗前明显提高（P<0.05），注意力及计算力、回忆能力差异无统计学意义（P>0.05）。组间比较，治疗组MMSE总分及各亚项评分与对照组相比明显提高（P<0.05）。治疗后治疗组认知障碍诊治系统智能评估总分及各亚项评分较治疗前明显提高（P<0.01）。结论 认知障碍诊治仪（早老干预系统）智能选择训练策略对脑卒中患者认知功能恢复具有积极作用，可改善患者的各维度认知功能，在临床中可广泛推广使用，减轻治疗师的工作强度，提高工作效率。更多还原

【Abstract】 Objective To analyze the effect of intelligent selection training strategies by cognitive impairment diagnosis and treatment instrument(early dementia intervention system) on cognitive function recovery in stroke patients. Methods A total of 100 post-stroke patients with cognitive impairment hospitalized in the Rehabilitation Department of the First Affiliated Hospital of Jinan University and the Rehabilitation Department of Dongpu Campus from January 2018 to June 2021 were selected. They were divided into control group and treatment group based on whether they received the intelligent selection training strategies using the cognitive impairment diagnosis and treatment instrument, with 50 patients in each group. In the treatment group, in addition to the conventional medication and limb rehabilitation training, the cognitive impairment diagnosis and treatment instrument(early dementia intervention system) was used to complete the functional evaluation and intervention in the intelligent mode. The intervention training strategy was intelligently selected by the cognitive impairment diagnosis and treatment instrument based on the intelligent evaluation result. The training content included orientation training, memory training, attention training, arithmetic training, communication training, and comprehensive training. The treatment frequency was once a day, with a duration of 20 minutes per session,5 times per week, for a treatment period of 1 month. The control group received routine medication and limb rehabilitation treatment, with no targeted cognitive training intervention. The cognitive function of patients in the treatment group was evaluated using the mini-mental state examination(MMSE) and the early dementia intervention system intelligent mode before and after one month of training; the cognitive function of the control group was evaluated using MMSE at admission and one month later. Results Before treatment, the statistical analysis of the MMSE evaluation result of the two groups showed that there was no statistically significant difference(P>0.05), in the total score and sub-item score, indicating comparability of cognitive function score between the two groups. After one month of treatment, the total and sub item score of MMSE in the treatment group significantly improved compared to before treatment, and the differences were statistically significant(P<0.05).The total score of MMSE and sub item score of orientation, memory and language abilities in the control group showed significant improvement compared with those before treatment,with statistical significance(P<0.05), while attention, calculation, and recall abilities showed no statistical differences(P>0.05). In the comparison between the two groups, the total score and sub item score of MMSE in the treatment group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). The intelligent evaluation total score and sub item score of the cognitive impairment diagnosis and treatment system in the treatment group significantly increased after treatment compared with those before treatment, and the differences were statistically significant(P<0.01). Conclusion The intelligent selection training strategies by the cognitive impairment diagnosis and treatment device(early dementia intervention system)have a positive effect on the cognitive recovery of stroke patients, which can improve the patients’ cognitive function in all dimensions, and can be widely promoted and used in clinical practice to the workload of therapists and improve their work efficiency.更多还原