摘要
目的 分析脑卒中后认知障碍用早期认知康复训练的价值。方法 对2020年12月-2022年11月本科接诊脑卒中后认知障碍病人（n=76）进行随机分组，试验和对照组各38人，前者采取早期认知康复训练，后者行常规治疗。对比MMSE评分等指标。结果 关于MMSE评分，干预结束时：试验组数据（23.97±3.86）分，和对照组数据（17.28±3.14）分相比更高（P＜0.05）。关于总有效率：试验组数据94.74%，和对照组数据73.68%相比更高（P＜0.05）。关于sf-36评分：干预结束时，试验组数据（87.12±3.58）分，和对照组数据（79.36±4.23）分相比更高（P＜0.05）。关于疗效满意度这个指标：试验组数据93.37%，和对照组数据81.58%相比更高（P＜0.05）。关于FMI评分：干预结束时，试验组数据（86.52±2.79）分，和对照组数据（79.36±3.04）分相比更高（P＜0.05）。结论 脑卒中后认知障碍用早期认知康复训练，效果显著，认知功能改善也更加明显，生活质量提升更为迅速，疗效满意度更高，功能独立性更好。
关键词： 早期认知康复训练；效果；脑卒中后认知障碍；生活质量
Abstract
Objective To analyze the value of early cognitive rehabilitation training for cognitive impairment after stroke. Methods The undergraduate patients with post-stroke cognitive impairment (n=76) admitted from December 2020 to November 2022 were randomly divided into 38 subjects in the experiment and 38 subjects in the control group. The former received early cognitive rehabilitation training and the latter received routine treatment. Compare MMSE score and other indicators. Results At the end of intervention, the MMSE score of the experimental group was 23.97±3.86, which was higher than that of the control group (17.28±3.14) (P < 0.05). The total effective rate of the experimental group was 94.74%, which was higher than that of the control group (73.68%, P < 0.05). sf-36 scores: At the end of the intervention, the experimental group had a higher score (87.12±3.58) than the control group (79.36±4.23) (P < 0.05). As for the index of efficacy satisfaction, the data of experimental group was 93.37%, which was higher than that of control group 81.58% (P < 0.05). FMI score: At the end of the intervention, the experimental group score (86.52±2.79) was higher than that of the control group (79.36±3.04) (P < 0.05). Conclusion Early cognitive rehabilitation training for cognitive impairment after stroke has significant effects, with more obvious improvement in cognitive function, faster improvement in quality of life, higher satisfaction with curative effect and better functional independence.
Key words： Early cognitive rehabilitation training; Effect; Cognitive impairment after stroke; Quality of life
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