本文選題：腦卒中 + 血管性認(rèn)知障礙　； 參考：《黑龍江中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：觀察認(rèn)知功能訓(xùn)練對(duì)腦卒中后血管性認(rèn)知障礙(vascular cognitive impairment VCI)患者認(rèn)知功能及日常生活活動(dòng)能力的影響 方法：臨床研究共納入60例VCI患者,隨機(jī)分為2組,實(shí)驗(yàn)組與對(duì)照組,每組各30例。對(duì)照組給予入院基礎(chǔ)治療、針灸治療、口服日常治療量尼莫地平治療；治療組在對(duì)照組基礎(chǔ)上給予患者認(rèn)知功能訓(xùn)練。兩組均以8周為治療周期,結(jié)束后觀察兩組患者蒙特利爾認(rèn)知評(píng)估量表(montreal cognitive assessment, MoCA)、簡易智能精神狀態(tài)量表(mini mental state examination,MMSE)、日常生活能力(activity of daily life,ADL)的評(píng)分變化情況。 結(jié)果： 1.治療組治療前后MoCA評(píng)分經(jīng)t檢驗(yàn)P0.05,存在顯著統(tǒng)計(jì)學(xué)差異；對(duì)照組治療前后MoCA評(píng)分經(jīng)t檢驗(yàn)P0.05,存在統(tǒng)計(jì)學(xué)差異；治療組與對(duì)照組治療后MoCA評(píng)分經(jīng)t檢驗(yàn)P0.05,存在顯著統(tǒng)計(jì)學(xué)差異。兩種治療方法對(duì)于VCI患者的MoCA評(píng)分均有改善作用,但治療組優(yōu)于對(duì)照組。 2.治療組治療前后MMSE評(píng)分經(jīng)t檢驗(yàn)P0.05,存在顯著統(tǒng)計(jì)學(xué)差異；治療組與對(duì)照組治療后MMSE評(píng)分經(jīng)t檢驗(yàn)P0.05,存在統(tǒng)計(jì)學(xué)差異。在MMSE評(píng)分改善方面,治療組明顯優(yōu)于對(duì)照組 3.治療組治療前后ADL評(píng)分經(jīng)t檢驗(yàn)P0.05,存在顯著統(tǒng)計(jì)學(xué)差異；治療組與對(duì)照組治療后ADL評(píng)分經(jīng)t檢驗(yàn)P0.05,存在統(tǒng)計(jì)學(xué)差異。在改善VCI患者ADL評(píng)分上,治療組優(yōu)于對(duì)照組。 結(jié)論：認(rèn)知功能訓(xùn)練可有效改善腦卒中后血管性認(rèn)知障礙患者的認(rèn)知功能及日常生活活動(dòng)能力。
[Abstract]:Objective: to observe the effect of cognitive function training on cognitive function and activities of daily living (ADL) in patients with vascular cognitive impairment (VCI) after stroke. Methods: 60 patients with VCI were randomly divided into two groups. There were 30 cases in each group. The control group was treated with admission basic treatment, acupuncture treatment, oral daily treatment of nimodipine, while the treatment group was given cognitive function training on the basis of the control group. The two groups were treated for 8 weeks. After the end, the scores of the Montreal cognitive Assessment scale (MCA), the mini mental state examination (MMSE) and the activity of daily Life (ADL) were observed. Results: 1. There was significant difference in MoCA score before and after treatment between the treatment group and the control group by t test (P0.05), the MoCA score before and after treatment in the control group was significantly different from that in the control group by t test (P0.05), and there was significant difference in the MoCA score between the treatment group and the control group by t test (P0.05). The two treatments improved the MoCA score of VCI patients, but the treatment group was better than the control group. 2. There was significant difference in MMSE score before and after treatment between the treatment group and the control group by t test (P 0.05), and there was statistical difference between the treatment group and the control group after treatment (P 0.05). The improvement of MMSE score in the treatment group was significantly better than that in the control group. Before and after treatment, there was significant difference in ADL score between treatment group and control group by t test (P0.05), and there was statistical difference between treatment group and control group after treatment (P0.05). In improving the ADL score of VCI patients, the treatment group was superior to the control group. Conclusion: cognitive function training can effectively improve the cognitive function and activities of daily living in patients with vascular cognitive impairment after stroke.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R743.3;R49

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