健康促进对中风后轻度认知障碍患者认知功能的干预作用观察

被引：13

作者：

贾蓓 ^{[1
]}

金香兰 ^{[2
]}

张志辰 ^{[2
]}

郑宏 ^{[2
]}

张允岭 ^{[2
]}

机构：

[1] 北京中医药大学

[2] 北京中医药大学东方医院

来源：

世界中医药 | 2016年 / 11卷 / 01期

关键词：

中风后轻度认知障碍; 健康促进; 临床观察;

D O I：

暂无

中图分类号：

R277.7 [中医神经病学与精神病学];

学科分类号：

1005 ;

摘要：

目的:初步探讨健康促进对中风后轻度认知障碍的干预作用。方法:本研究基于课题组设计的多中心、大样本、平行、随机、对照的试验方案,以中风后轻度认知障碍患者为研究对象,纳入患者873例,随机分为干预组和对照组,干预组给予健康促进+健康教育,对照组给予健康教育,2组随访180 d,观察患者Mo CA评分变化情况。结果:干预180 d后,干预组Mo CA平均分较入组时有改善,且得分改善情况优于对照组(P<0.05)。干预180天后,干预组好转154例(36.2%),平稳156例(36.6%),下降116例(27.2%);对照组组好转111例(24.8%),平稳185例(41.4%),下降151例(33.8%)(P<0.05)。对健康促进各项目及年龄、文化程度做多因素回归分析,显示穴位按摩(P=0.009)、中药泡脚(P=0.011)、体育活动(P=0.000)、社交活动(P=0.000)可进入回归方程。即穴位按摩、中药泡脚、体育活动、社交活动是改善认知功能的保护性因素。结论:健康促进可改善中风后轻度认知障碍患者认知功能水平,其中体育活动、社交活动、穴位按摩、中药泡脚是认知功能的保护性因素。

引用

页码：22 / 28

页数：7

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