【摘要】：目的:通過(guò)比較腦卒中后強(qiáng)化運(yùn)動(dòng)訓(xùn)練對(duì)認(rèn)知功能的影響,來(lái)證實(shí)強(qiáng)化運(yùn)動(dòng)治療是否有效,以及強(qiáng)化訓(xùn)練時(shí)間和認(rèn)知功能改善之間的關(guān)系。方法:選取2014-2015年在我院康復(fù)科住院并確診為認(rèn)知功能障礙的腦卒中患者30例,將患者隨機(jī)分為對(duì)照組和強(qiáng)化訓(xùn)練組,每組15例。在完成常規(guī)認(rèn)知功能訓(xùn)練的基礎(chǔ)上,對(duì)照組和強(qiáng)化訓(xùn)練組分別采用運(yùn)動(dòng)功能的常規(guī)訓(xùn)練和強(qiáng)化訓(xùn)練。兩組患者分別于治療前,及治療后2、4、6周運(yùn)用MMSE量表進(jìn)行認(rèn)知功能評(píng)定、運(yùn)用Fugl-Meyer下肢運(yùn)動(dòng)功能評(píng)定法(FMA-L)對(duì)下肢運(yùn)動(dòng)功能進(jìn)行評(píng)定。結(jié)果:兩組患者治療前的MMSE評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),強(qiáng)化訓(xùn)練組于治療2、4、6周后的MMSE評(píng)分均高于同時(shí)間對(duì)照組的MMSE評(píng)分,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。各組內(nèi)患者于治療2、4、6周后的MMSE評(píng)分均高于前一次評(píng)分,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。強(qiáng)化訓(xùn)練組于治療2、4、6周后的FMA-L評(píng)分均高于同時(shí)間對(duì)照組的FMA-L評(píng)分,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。各組內(nèi)患者于治療2、4、6周后的FMA-L評(píng)分均高于前一次評(píng)分,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。結(jié)論:強(qiáng)化運(yùn)動(dòng)訓(xùn)練較普通訓(xùn)練可以明顯改善腦卒中患者的認(rèn)知功能,并且在一定范圍內(nèi),隨著療程的延長(zhǎng),認(rèn)知功能的改善越明顯。
[Abstract]:Aim: to compare the effect of intensive exercise training on cognitive function after stroke, to verify the effectiveness of intensive exercise therapy and the relationship between intensive exercise training time and cognitive function improvement. Methods: thirty stroke patients who were hospitalized in rehabilitation department of our hospital in 2014-2015 and diagnosed as cognitive dysfunction were randomly divided into control group and intensive training group with 15 cases in each group. On the basis of the routine cognitive function training, the control group and the intensive training group adopted routine training and intensive training respectively. The patients in both groups were assessed with MMSE before treatment and 2 weeks and 6 weeks after treatment respectively. Fugl-Meyer lower limb motor function assessment (FMA-L) was used to evaluate lower extremity motor function. Results: there was no significant difference in MMSE scores between the two groups before treatment (p0.05). The MMSE scores in the intensive training group were higher than those in the control group after 2 weeks of treatment (p0.05). The MMSE scores of patients in each group were significantly higher than those of the previous group 6 weeks after treatment (p0.05). The FMA-L score in the intensive training group was significantly higher than that in the control group at the same time (p0.05). The FMA-L score of the patients in each group was significantly higher than that of the previous group after 6 weeks of treatment (p0.05). Conclusion: intensive exercise training can obviously improve the cognitive function of stroke patients, and in a certain range, the improvement of cognitive function is more obvious with the prolongation of the course of treatment.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R743.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 金青;;奧拉西坦聯(lián)合膽堿酯酶抑制劑對(duì)腦梗死后認(rèn)知功能障礙效果觀察[J];浙江中西醫(yī)結(jié)合雜志;2017年02期

2 廖亮華;黃東;江興妹;鄧曉青;周冰峰;;高頻與低頻重復(fù)經(jīng)顱磁刺激對(duì)腦梗死患者認(rèn)知功能的影響[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2017年01期

3 張忠霞;王銘維;;生物反饋技術(shù)研究與進(jìn)展[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2016年09期

4 李振華;楊清成;張建剛;郭艷平;吳海香;王永姣;黃瑩瑩;李慶霞;;青年與中老年腦梗死的對(duì)比研究[J];中國(guó)卒中雜志;2016年09期

5 董強(qiáng);;《中國(guó)卒中后認(rèn)知障礙管理專家共識(shí)》解讀[J];中華醫(yī)學(xué)信息導(dǎo)報(bào);2016年12期

6 張大偉;王強(qiáng);馬健;柏廣濤;高晶晶;李明;宮陽(yáng)陽(yáng);;強(qiáng)化訓(xùn)練對(duì)腦卒中后抑郁大鼠抑郁程度及海馬區(qū)Kalirin-7表達(dá)的影響[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2016年04期

7 周蘇鍵;彭慧平;;高壓氧對(duì)認(rèn)知功能障礙影響的應(yīng)用研究[J];神經(jīng)損傷與功能重建;2015年04期

8 常飛;楊雪果;肖士成;段旭昌;;脫脂羊腦蛋白酶解條件優(yōu)化及酶解產(chǎn)物體外抗氧化活性[J];食品科學(xué);2015年03期

9 吳永斌;趙麗;楊昕;;腦梗死后癡呆的危險(xiǎn)因素分析及多奈哌齊的治療效果研究[J];中國(guó)全科醫(yī)學(xué);2014年13期

10 李旭;杜新;陳天勇;;促進(jìn)老年人認(rèn)知健康的主要途徑(綜述)[J];中國(guó)心理衛(wèi)生雜志;2014年02期

，

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