【摘要】 目的探讨康复训练对血管性痴呆患者的有效性。方法将63例轻、中度血管性痴呆患者随机分为康复训练组和对照组,康复训练组进行药物治疗基础上的12周的康复训练,对照组单用药物治疗。应用痴呆严重程度临床评定量表(CDR)、简易智力状态检查量表(MMSE)、成人韦氏记忆量表(WMS)、日常生活能力量表(ADL)分别在入组时和12周末评定其认知功能及日常生活能力。结果12周末两组患者MMSE、WMS评分差异均有显著意义(p<0.05)。ADL评分康复训练组差异有显著性(p<0.05),而对照组差异无显著性(p>0.05)。且治疗前后MMSE、WMS、ADL评分改善程度康复训练组明显好于对照组(p<0.05)。结论康复训练能显著改善患者的认知功能和日常生活自理能力,延缓病情发展。提示对血管性痴呆应采取综合康复措施。更多还原

【Abstract】 Objective To discuss the effect of rehabilitation training on patients with vascular dementia.Methods 63 cases with mild or moderate vascular dementia were randomly divided into 2 groups: rehabilitation training group(n=30) and control group(n=31).Rehabilitation training group received drug treatment and 12-week rehabilitation training while the control group received drug treatment only.The Clinical Dementia Rating Scale(CDR),the Mini-Mental State Examination(MMSE),the Wechesler Memory Scale for Adult(WMS) and the Activity of Daily Living Scale(ADL) were applied at the beginning of the treatment and at the end of 12 weeks to evaluate the cognitive function and daily living ability.Results MMSE and WMS scores of the patients in both groups at the end of 12 weeks showed significant difference(p<0.05);ADL of rehabilitation training group was of significant difference(p<0.05) while that of control group was of no obvious difference(p>0.05);the score improvement of MMSE,WMS and ADL before and after treatment in rehabilitation training group was much greater than that in control group (p<0.05).Conclusions Rehabilitation training can obviously improve the cognition and daily living ability of the patients with vascular dementia and it can also delay the dementia progress.更多还原