强化认知康复训练对糖尿病伴认知功能障碍患者认知功能和生活质量的影响

《强化认知康复训练对糖尿病伴认知功能障碍患者认知功能和生活质量的影响》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、删主舌向2018-03-2910:29:58中国现代医生2018年6期卢雪芬符鸿俊王竞华［摘耍］戸的探讨强化认知康复训练对糖尿病伴认知功能障碍患者认知功能和生活质暈的影响。方法选取80例糖尿病伴认知功能障碍患者，随机分为T•预组和对照组各40例。兩组均予以饮食调整、适当运动及药物降血糖等基础治疗。对照组加予常规康复干预，干预组在对照组基础上加用强化认知康复干预，两组均干预16周。评估两组干预前与干预16周后认知功能指标及生活质量变化。结果干预16周后，两组MOCA评分和MMSE评分较前不同幅度上升(

2、P<0.05或P<0.01),>LT•预组较对照组上升幅度更明显(PvO.05)；同时两组躯体功能、心理情感、社会功能和物质生活等4项评分均较前明显上升(PvO.05或P<0.01)，且干预组上升值较对照组更显著(PvO.05)o结论强化认知康复训练用于糖尿病伴认知功能障碍患者的疗效确切，能明显改善其认知功能，提高生活质量,改善其预后。［关键词］糖尿病；认知功能障碍；强化认知康复训练；认知功能；生活质量［中图分类号］R493［文献标识码］B戊章编1673-9701(2018)06-0086-04［A

3、bstract］ObjectiveToinvestigatetheeffectsofintensivecognitiverehabilitationtrainingonthecognitivefunctionandqualityoflifeinthepatientswithdiabetesmellituscomplicatedwithcognitiveimpairment.MethodsAtotalof80diabeticpatientswithcognitiveimpairmentwererand

4、omlydividedintointerventiongroupandcontrolgroup,with40casesineachgroup.Bothgroupsweregivendietaryadjustments,appropriateexercise,hypoglycemicdrugsandotherbasictreatment.Thecontrolgroupwasgivenroutinerehabilitationintervention.Theinterventiongroup,onthe

5、basisofthecontrolgroup,wasfurthergivenintensivecognitiverehabilitationintervention.Bothgroupsweregiveninterventionfor16weeks・Thechangesofcognitivefunctionindexandqualityoflifebeforeinterventionand16weeksafterinterventioninbothgroupswereevaluated.Result

6、sAfter16weeksofintervention,theMOCAscoreandMMSEscoreinthetwogroupswereincreasedatdifferentdegreecomparedwithbefore(P<0.05orP<0.01),andtheincreasedegreeintheinterventiongroupwasmoresignificantthanthatinthecontrolgroup(P<0.05)；atthesametime,thescoresofph

7、ysicalfunction,psychologicalemotion,socialfunctionandmateriallifeinthetwogroupsweresignificantlyincreased(P<0.05orP<0.01),andtheincreasedegreeintheinterventiongroupwasmoresignificantthanthatinthecontrolgroup(P<0.05)•ConclusionTheintensivecognitiverehab

8、ilitationtrainingiseffectiveinthepatientswithdiabetesmellituscomplicatedwithcognitiveimpairmentswhichcansignificantlyimprovetheircognitivefunction,improvequalityoflife,andimprovetheirprognosis.［Keywords］Diabetes；Cognitiveimpairment；Inte