国际医药卫生导报2013,Vol.19Issue(12):1723-1726,4.DOI:10.3760/cma.j.issn.1007-1245.2013.12.001
早期计算机辅助认知干预对脑梗塞患者运动再学习能力的影响
Effects of Early Computer-aided Cognitive Intervention on the Movement Relearning Ability of Cerebral Infarction Patients
摘要
Abstract
Objective To observe the relationship between the early computer-aided cognitive intervention and the movement relearning ability of cerebral infarction patients.Methods 60 patients with cerebral infarction were randomly divided into control group and treatment group.Patients of both groups were treated with conventional movement relearning therapy,and the patients of the treatment group were added computer-aided cognitive intervention training.The treatment for both groups had lasted for 30 minutes per day,and the course of treatment was 20 days,and the treatment group was given extra cognitive training simultaneously.Before and after treatment,Fugl -Meyer,Barthel index and cognitive impairment diagnosis system ZM3.2 were used respectively to evaluate patients in the two groups.Analysis was performed by t test.Results Before treatment,the difference of the above indicators between the control group and the treatment group was not significant (P > 0.05),while after the computer-aided treatment,comparing Fugl-Meyer and Barthel index of the two groups,the t values were 3.4 and 4.436 respectively,with the difference between the two groups being of statistical significance (P < 0.05),and the indicators' grade of the treatment group was much better than that of the control group.At the same time.after the computer-aided training for the treatment group,the grade of the patients' cognitive ability,especially at the aspects of the executive ability,attention,memory,and directional force,had increased by 62.24%,37.68%,18.13% and 5.93%,respectively.Moreover,for patients below 65 years old and getting the cognitive training within 60 days of disease onset,their movement relearning abilities were much better than those with older age and longer days of disease,and the t value of Fugl-Meyer and Barthel' s comparison were 19.11 and 5.07,respectively,with the difference being statistically significant (P < 0.05).Conclusion Early conventional computer-aided cognitive rehabilitation training can effectively improve the body recovery ability of cerebral infarction patients,and it' s more effective for younger patients and those getting the treatment earlier.关键词
认知干预/脑梗塞/运动再学习能力Key words
Cognitive intervention/ Cerebral infarction / Movement relearning ability引用本文复制引用
吴婉霞,刘文权,徐武华,沈雁,周慧怡..早期计算机辅助认知干预对脑梗塞患者运动再学习能力的影响[J].国际医药卫生导报,2013,19(12):1723-1726,4.基金项目
广东省科技厅2010年社会发展项目研究基金(2010B031500004) (2010B031500004)