中国康复理论与实践2025，Vol.31Issue(12)：1439-1449,11.DOI:10.3969/j.issn.1006-9771.2025.12.008
计算机认知矫正疗法对卒中后认知功能障碍的效果
Effect of computerized cognitive remediation therapy on post-stroke cognitive impairment
摘要
Abstract
Objective To observe the effect of computerized cognitive remediation therapy(CCRT)on cognitive function and activi-ties of daily living(ADL)in patients with post-stroke cognitive impairment(PSCI). Methods From November,2021 to May,2023,56 inpatients with PSCI in Beijing Bo'ai Hospital were recruited and ran-domly divided into control group(n=28)and experimental group(n=28).The control group received conven-tional cognitive training combined with occupational therapy cognitive training activities,while the experimental group received conventional cognitive training combined with CCRT,for four weeks.They were evaluated with Loewenstein Occupational Therapy Cognitive Assessment(LOTCA),Repeatable Battery for Assessment of Neu-ropsychological Status(rBANS)and modified Barthel Index(MBI)before and after treatment. Results Three cases dropped out in each group.After treatment,the total scores of LOTCA and rBANS,and the score of MBI increased significantly in both groups(|t|≥8.944,P<0.001).The differences in the scores of visuomotor organization and thinking operations domains in LOTCA between pre-treatment and post-treatment(|t|≥2.120,P<0.05),and the differences in the scores of immediate memory,speech function,attention and delayed memo-ry domains in rBANS between pre-treatment and post-treatment(|t|≥2.392,P<0.05)were higher in the experi-mental group than in the control group. Conclusion CCRT can effectively improve the overall cognitive function and ADL of PSCI patients.Compared with oc-cupational therapy cognitive training activities,CCRT demonstrates superior efficacy on aspects such as visuomo-tor organization,thinking operations,immediate memory,speech function,attention and delayed memory do-mains.关键词
卒中后认知功能障碍/计算机认知矫正疗法/计算机辅助认知康复/日常生活活动能力Key words
post-stroke cognitive impairment/computerized cognitive remediation therapy/computer-assisted cognitive rehabilitation/activities of daily living分类
医药卫生引用本文复制引用
颜如秀,宋鲁平,黄富表,梁艳华,崔尧,杨昊..计算机认知矫正疗法对卒中后认知功能障碍的效果[J].中国康复理论与实践,2025,31(12):1439-1449,11.基金项目
1.中国康复研究中心项目(No.2022ZX-35) （No.2022ZX-35）
2.深圳市南山区卫生健康系统科技重大项目(No.NSZD2023014) Supported by China Rehabilitation Research Center Project(No.2022ZX-35)and Nanshan District Health System Technology Major Project in Shenzhen(No.NSZD2023014) （No.NSZD2023014）
