杜振峰;蔡琛;

• 1:郑州人民医院

摘要(Abstract)：

目的探讨计算机辅助认知训练联合作业治疗在脑卒中认知障碍患者康复中的作用。方法选取2018-11—2020-05郑州人民医院收治的120例脑卒中认知障碍患者为研究对象,随机分为观察组(60例)和对照组(60例)。对照组给予计算机辅助认知训练,观察组在对照组基础上增加作业治疗。于治疗前及治疗12周后通过蒙特利尔认知评估量表(MoCA)评估整体认知功能,采用数字广度(DS)、数字警觉测试(DVT)、数字符号测试(SDMT)评估注意力,采用连线测试(TMT)评估执行能力,采用MBI和FIM评分法评估日常生活能力和独立能力。结果治疗前2组MoCA、DS、DVT、SDMT、TMT、MBI及FIM比较差异无统计学意义(P>0.05)。治疗后2组MoCA、DS、DVT、SDMT、MBI及FIM评分均有所上升,而TMT评分有所下降(P<0.05),且相较于对照组,观察组MoCA、DS、DVT、SDMT、MBI及FIM评分更高,TMT评分更低(P<0.05)。结论计算机辅助认知训练联合作业治疗对脑卒中认知障碍患者的认知功能具有积极作用,可改善注意力、执行力、日常生活能力及独立能力。

关键词(KeyWords)： 脑卒中;作业治疗;计算机辅助认知训练;认知障碍;康复

Abstract:

Keywords:

基金项目(Foundation): 2019年河南省医学科技攻关计划联合共建项目(编号:LHGJ20191086)

作者(Authors): 杜振峰;蔡琛;

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