文章摘要
乔红梅,潘宇峰,刘利,谭诚炜,邱梦思,徐倩倩,陈海华,葛许华.计算机认知功能训练联合脑循环治疗对社区老年轻度认知功能障碍的疗效观察[J].中国康复,2023,38(8):475-479
计算机认知功能训练联合脑循环治疗对社区老年轻度认知功能障碍的疗效观察
Clinical effect of computer cognitive training combined with cerebral circulation therapy on patients with mild cognitive impairment in community elderly
  
DOI:
中文关键词: 轻度认知功能障碍  计算机认知功能训练  脑循环治疗
英文关键词: mild cognitive impairment  computer cognitive function training  cerebral circulation therapy
基金项目:上海市宝山区科学技术委员会科技创新项目(20-E-62);同济大学医学院附属社区卫生服务中心科学研究项目(TUSM2020C20)
作者单位
乔红梅 上海市宝山区淞南镇社区卫生服务中心全科上海 200441 
潘宇峰 上海市宝山区淞南镇社区卫生服务中心全科上海 200441 
刘利 上海市宝山区淞南镇社区卫生服务中心全科上海 200441 
谭诚炜 上海市宝山区淞南镇社区卫生服务中心全科上海 200441 
邱梦思 上海市宝山区淞南镇社区卫生服务中心全科上海 200441 
徐倩倩 上海市宝山区淞南镇社区卫生服务中心康复科上海 200441 
陈海华 上海市宝山区淞南镇社区卫生服务中心康复科上海 200441 
葛许华 同济大学附属杨浦医院全科医学科同济大学医学院全科医学系上海 200090 
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中文摘要:
  目的:分析计算机认知功能训练联合脑循环治疗对社区老年轻度认知障碍的疗效。方法:选取在上海市宝山区淞南镇社区卫生服务中心体检或就诊的120例老年轻度认知功能障碍患者(脱落7例),用随机数字表法将患者分为4组。对照组(T0组,30例)给予健康宣教及危险因素控制干预,治疗组分为3组(T1组28例、T2组27例、T3组28例),在T0组干预基础上,分别采用计算机认知功能训练、脑循环治疗、计算机认知功能训练联合脑循环治疗,12周后比较各组治疗前后认知功能变化。结果:治疗后,T1、T2、T3组蒙特利尔认知评估量表 (MoCA)总分明显高于T0组及治疗前(P<0.05),其中T3组MoCA总分、计算及延迟回忆评分明显高于T1、T2组(P<0.05);T1、T2、T3组日常生活能力评定量表 (ADL)、工具性日常生活能力量表(IADL)评分较治疗前及T0组明显降低(P<0.05),T3组ADL、IADL评分均低于其他治疗组(P<0.05)。结论:计算机认知功能训练联合脑循环治疗能有效改善社区老年轻度认知功能障碍,提高患者生活质量。
英文摘要:
  Objective: To analyze the effect of computer cognitive function training combined with cerebral circulation therapy on mild cognitive impairment in community elderly. Methods: All 120 elderly patients with mild cognitive impairment who were treated at the Community Health Service Center in Songnan Town, Baoshan District, Shanghai from August 2020 to November 2022, were selected and divided into 4 groups by a random number table. The control group (T0 group) was given health education and risk factor control, and the treatment group was divided into 3 subgroups (T1 subgroup, T2 subgroup, T3 subgroup). On the basis of health education and risk factor control, we respectively used computer cognitive function training, cerebral circulation therapy, computer cognitive function training combined with cerebral circulation therapy. The changes of cognitive function in each group before and 12 weeks after treatment were compared. Results: After treatment, the total score of the montreal cognitive assessment scale (MoCA) in the T1, T2, and T3 subgroups was significantly higher than that in the T0 group and before treatment (P<0.05). Among them, the MoCA total score, calculation, and delayed recall score in the T3 subgroup were significantly higher than those in the T1 and T2 subgroups after treatment (P<0.05). After treatment, the scores of ADL and IADL in T1, T2, and T3 subgroups were significantly lower than those before treatment and T0 group (P<0.05). The scores of ADL and IADL in T3 subgroup were lower than those in other treatment groups (P<0.05). Conclusion: Computer cognitive function training combined with cerebral circulation therapy can effectively improve cognitive function and quality of life of elderly patients in the community.
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