| 引用本文:贾蓓1，金香兰2，张志辰2，郑宏2，张允岭2.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[J].世界中医药,2016,(01):. |
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| 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 |
| Observation on the Impact of Health Promotion on Mild Cognitive Impairment Induced by Stroke |
| 投稿时间：2015-12-28 |
| DOI：10.3969/j.issn.1673-7202.2016.01.005 |
| 中文关键词: 中风后轻度认知障碍 健康促进 临床观察 |
| English Keywords:Mild cognitive impairment induced by stroke Health promotion Clinical observation |
| 基金项目:2010年中医药行业科研专项(编号:201007002)北京中医药大学研究创新团队项目（编号:2011 CXTD 23）；2011年北京市科技计划项目（编号:Z111107056811040） |
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| 中文摘要: |
| 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MoCA评分变化情况。结果：干预180 d后，干预组MoCA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。 |
| English Summary: |
| To observe the impact of health promotion on mild cognitive impairment(MCI) induced by stroke. Methods:There are a total of 873 cases of patients with MCI induced by stroke who are selected and randomly divided into two groups: intervention group and the control group. The intervention group was given health promotion and health education and the control group was given health education. After 180 d of follow up, MoCA score and other changes were observed between the two groups. Results:After intervention, MoCA score in the intervention group was improved and compare with that of the control group, the differences were statistically significant(P<0.05). After intervention, there were 154 cases got improved(36.2%), 156 cases remained stable(36.6%), and 116 cases got worse(27.2%) in the intervention group; while 111 cases got improved(24.8%), 185 cases remained stable(33.8%), and 151 cases got worse(33.8%) in the control group. The differences between the two groups was sadistically different(P<0.05). Analysis on the age, eudcation degree of patients shows that massage(P=0.009), lavipeditum(P=0.011), physical exercise(P=0.000), and social action(P=0.000) could be included in regression equation. This means that such factors could assist in the improvement of cognitive function. Conclusion:Health promotion could help patients with MCI to recover, and massage, lavipeditum, physical exercise and social action also make great contribution. |
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