内科理论与实践2017，Vol.12Issue(4)：288-292,5.DOI:10.16138/j.1673-6087.2017.04.012
脑梗死合并不同程度记忆障碍患者的康复疗效比较
Rehabilitation effect on cerebral infarction patients with different degrees of memory impairment
摘要
Abstract
Objective Rehabilitation training was performed in patients with cerebral infarction complicated with different degrees of memory impairment,and to investigate the effect of different rehabilitation training.Methods A total of 219 cerebral infarction patients with memory impairment were enrolled.According to the assessment results of Rivermead behavioral memory test second edition (RMBT-Ⅱ),patients were divided into mild,moderate,severe group.Each group was randomly assigned to controlgroup,intervention No.1 group and the intervention No.2 group.Control gronp received routine rehabilitation training.Intervention No.1 group received face-to-face training in addition to routine rehabilitation training,and intervention No.2 group was given computer interactive games in addition to routine rehabilitation training.After 6 weeks of training,12 weeks of training,and 4 weeks after the end of training,memory function was reassessed.Results In cerebral infarction patients with mild to moderate memory impairment,memory score in intervention No.1 group was significantly increased after 6 weeks of training,and was significantly increased after 12 weeks of training in intervention No.1 group and intervention No.2 group;4 weeks after the end of training,the memory score in intervention No.1 group increased significantly (P＜0.05).And compared with the intervention No.2 group,the memory scoresin intervention No.1 group were significantly higher than those in intervention group No.2 group after 6 weeks of training,12 weeks of training,and 4 weeks after the end of training (all P＜0.05).For patients with severe memory impairment,there were no significant changes in memory scores between groups at each of the time points (P＞0.05).Conclusions For cerebral infarction patients with mild to moderate memory impairment,face-to-face individual training was effective in improving memory,and computer interactive games also could be effective,yet the onset of face-to-face individual training was more faster and effective.Furthermore,face-to-face individual training maintained memory effect longer.For cerebral infarction patients with severe memory impairment,the effect of face-to-face individual training and computer interactive games was not obvious.关键词
脑梗死/记忆障碍/康复Key words
Cerebral infarction/Memory impairment/Rehabilitation分类
医药卫生引用本文复制引用
孙超,任蕾,林桦..脑梗死合并不同程度记忆障碍患者的康复疗效比较[J].内科理论与实践,2017,12(4):288-292,5.基金项目
上海市卫生和计划生育委员会科研课题青年项目(项目编号:20144Y0187) （项目编号:20144Y0187）
