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颈动脉内膜剥脱术后早期认知功能的康复训练

廖利萍 陈英 王科 高英 胡晞 王娜 王军

局解手术学杂志2018,Vol.27Issue(10):749-752,4.
局解手术学杂志2018,Vol.27Issue(10):749-752,4.DOI:10.11659/jjssx.08E018099

颈动脉内膜剥脱术后早期认知功能的康复训练

Rehabilitation training of early cognitive function after carotid endarterectomy

廖利萍 1陈英 1王科 1高英 1胡晞 1王娜 2王军2

作者信息

  • 1. 重庆市急救医疗中心神经外科,重庆 400014
  • 2. 首都医科大学宣武医院神经外科,北京100063
  • 折叠

摘要

Abstract

Objective To investigate the effect of early cognitive rehabilitation training on cognitive function of patients after carotid endarterectomy. Methods The clinical data of 32 patients with carotid stenosis undergoing carotid endarterectomy ( CEA) admitted to the neurosurgery department of Chongqing emergency medical center from January 2016 to June 2018 were retrospectively analyzed.Sixteen pa-tients with conventional CEA admitted from January 2016 to June 2017 were treated as the control group.Sixteen patients with early cognitive rehabilitation training admitted from July 2017 to June 2018 were treated as cognitive on the basis of routine treatment after CEA.In the train-ing group,the Montréal Cognitive Assessment Scale (MoCA) scores at 1 week and 3 months after surgery were analyzed. Results There was no significant difference in MoCA score between the two groups (P>0.05) at 1 week after surgery compared with those before surgery. The MoCA scores of the two groups were significantly higher than those before the operation 3 months after surgery(P<0.05).The change of the cognitive training group was more significant than that of the control group(P<0.05). Conclusion After carotid endarterectomy,early cognitive rehabilitation training can help reduce the incidence of postoperative cognitive dysfunction and improve cognitive function.

关键词

颈动脉内膜剥脱术/认知功能障碍/颈动脉狭窄

Key words

carotid endarterectomy/cognitive dysfunction/carotid artery stenosis

分类

医药卫生

引用本文复制引用

廖利萍,陈英,王科,高英,胡晞,王娜,王军..颈动脉内膜剥脱术后早期认知功能的康复训练[J].局解手术学杂志,2018,27(10):749-752,4.

局解手术学杂志

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