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目的对脑梗塞患者认知改变与生活质量等因素作前瞻性对照研究,探讨提高脑梗塞患者认知功能的可行性康复方法。方法用改良的长谷川量表(HDS-R)对脑梗塞患者作认知测评和随访,筛查出认知功能改善和退步的病例。对两组病例的生活质量量表(QOL)及人口学资料、神经功能缺损评分、BARTHEL指数、进行对照研究和回归分析、探讨认识改变的相关因素。结果两组病例的年龄和生活质量评分有显著差异。生活质量测评中,适当参加家务劳动,经常的户外和休闲活动、家庭关系、心理因素与认知改变相关。结论日常生活环境质量,与提高脑梗塞认知功能显著相关。家庭支持是认知改善的重要因素。认知退步是与增龄和生活单调有关。因此今后对脑梗塞患者临床治疗同时,需进行积极的康复认知功能训练。
Objective To study the cognitive rehabilitation of patients with cerebral infarction and quality of life and other factors for prospective controlled study to explore ways to improve the cognitive function of patients with cerebral infarction rehabilitation methods. Methods Cognitive evaluation and follow-up were performed on patients with cerebral infarction using a modified Hasegawa scale (HDS-R) to screen out cases of improvement and regression of cognitive function. Quality of life scale (QOL) and demographic data, neurological deficit score and BARTHEL index of two groups of patients were compared and analyzed with regression analysis to explore the related factors of cognitive changes. Results There were significant differences in age and quality of life scores between the two groups. In the evaluation of quality of life, proper participation in domestic work, regular outdoor and leisure activities, family relationships, and psychological factors are associated with cognitive changes. Conclusion The quality of daily living environment is significantly related to the improvement of cognitive function of cerebral infarction. Family support is an important factor in cognitive improvement. Cognitive regression is related to age and monotonous life. Therefore, the clinical treatment of patients with cerebral infarction in the future at the same time, the need for positive rehabilitation cognitive function training.