目的 评估康复训练疗法对老年性痴呆患者的疗效.方法 53例老年性痴呆患者随机分为2组,认知训练组28例采用常规药物治疗及康复训练疗法,对照组25例只采用常规药物处理.2组治疗时间均为6个月.治疗后采用简易精神状态量表及日常生活活动能力量表对患者进行评定.结果 经康复训练后,2组患者的日常生活能力、认知能力比较均有显著性差异(P均<0.05).其中,认知训练组时间定向、地点定向、即刻记忆力、延迟记忆力及视空间等认知方面的单项检查改善明显(P均<0.05),而躯体生活自理能力及工具性日常行为能力也有明显改善(P均<0.05).结论 康复训练疗法能明显促进老年性痴呆患者的认知能力及日常生活自理能力的改善.%Objective It is to evaluate the effect of rehabilitation training in patients with senile dementia. Methods 53 patients with senile dementia were randomly divided into two groups. 28 patients in experimental group were received rehabilitation training in addition to conventional medication, and 25 patients in control group were treated by conventional medication only. Both of the two groups were treated for 6 months. Simple mental status scale and activities of daily living scale were used to evaluate the patients when they were enrolled after 6 month. Results There were significantly differences in improvement of daily life ability, cognition ability between both groups after rehabilitation training ( all P <0.05 ). Accordingly, most items in simple mental status scale and all items of activities of daily living scale also were markedly improved in experimental group ( all P <0.05 ). Conclusion Cognitive training can obviously promote the senile dementia patient's cognition ability and improve their self-care ability of daily life.
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