【摘要】：目的:通過比較腦卒中后強化運動訓練對認知功能的影響,來證實強化運動治療是否有效,以及強化訓練時間和認知功能改善之間的關系。方法:選取2014-2015年在我院康復科住院并確診為認知功能障礙的腦卒中患者30例,將患者隨機分為對照組和強化訓練組,每組15例。在完成常規(guī)認知功能訓練的基礎上,對照組和強化訓練組分別采用運動功能的常規(guī)訓練和強化訓練。兩組患者分別于治療前,及治療后2、4、6周運用MMSE量表進行認知功能評定、運用Fugl-Meyer下肢運動功能評定法(FMA-L)對下肢運動功能進行評定。結(jié)果:兩組患者治療前的MMSE評分差異無統(tǒng)計學意義(p0.05),強化訓練組于治療2、4、6周后的MMSE評分均高于同時間對照組的MMSE評分,差異有統(tǒng)計學意義(p0.05)。各組內(nèi)患者于治療2、4、6周后的MMSE評分均高于前一次評分,差異有統(tǒng)計學意義(p0.05)。強化訓練組于治療2、4、6周后的FMA-L評分均高于同時間對照組的FMA-L評分,差異有統(tǒng)計學意義(p0.05)。各組內(nèi)患者于治療2、4、6周后的FMA-L評分均高于前一次評分,差異有統(tǒng)計學意義(p0.05)。結(jié)論:強化運動訓練較普通訓練可以明顯改善腦卒中患者的認知功能,并且在一定范圍內(nèi),隨著療程的延長,認知功能的改善越明顯。
[Abstract]:Aim: to compare the effect of intensive exercise training on cognitive function after stroke, to verify the effectiveness of intensive exercise therapy and the relationship between intensive exercise training time and cognitive function improvement. Methods: thirty stroke patients who were hospitalized in rehabilitation department of our hospital in 2014-2015 and diagnosed as cognitive dysfunction were randomly divided into control group and intensive training group with 15 cases in each group. On the basis of the routine cognitive function training, the control group and the intensive training group adopted routine training and intensive training respectively. The patients in both groups were assessed with MMSE before treatment and 2 weeks and 6 weeks after treatment respectively. Fugl-Meyer lower limb motor function assessment (FMA-L) was used to evaluate lower extremity motor function. Results: there was no significant difference in MMSE scores between the two groups before treatment (p0.05). The MMSE scores in the intensive training group were higher than those in the control group after 2 weeks of treatment (p0.05). The MMSE scores of patients in each group were significantly higher than those of the previous group 6 weeks after treatment (p0.05). The FMA-L score in the intensive training group was significantly higher than that in the control group at the same time (p0.05). The FMA-L score of the patients in each group was significantly higher than that of the previous group after 6 weeks of treatment (p0.05). Conclusion: intensive exercise training can obviously improve the cognitive function of stroke patients, and in a certain range, the improvement of cognitive function is more obvious with the prolongation of the course of treatment.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3

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