目的 探讨物品记忆测验应用于血管性认知障碍训练的价值.方法 选择2015年10月至2016年12月血管性认知障碍患者100例,随机分为对照组和观察组,每组各50例,对照组常规治疗,观察组在对照组治疗方法的基础上,加用物品记忆测验对患者进行周期性训练,比较两组治疗效果.结果 治疗3个月后,两组患者MMSE评分与治疗前比较差异有统计学意义(P<0.05),且观察组高于对照组(P<0.05).观察组患者在治疗1、2、3个月物品记忆测验中各个项目的分数差异均有统计学意义(F=12.369,11.587,8.337,14.398,12.669,P<0.05),任意两个时间数据差异也均有统计学意义(P<0.05).观察组记忆容量个数,回想物品个数,有效提醒个数和延迟回想个数四个项目随着治疗时间增加而增加,无效提醒个数随着治疗时间增加而降低.对照组治疗有效率90.00％,观察组治疗有效率为100.00％,两组治疗有效率差异有统计学意义(χ2=5.263,P<0.05),两组治疗效果分级数据差异也有统计学意义(z=2.486,P<0.05),表明观察组治疗效果显著优于对照组.结论 将物品记忆测验应用于血管性认知障碍患者的训练,可以显著提高患者的治疗效果,值得在更广大临床范围内进行推广.%Objective To explore the application value of the Fuld Object Memory Evaluation in the training of vascular cognitive impairment. Methods Between October 2015 and December 2016,100 patients who were diagnosed with vascular cognitive impairment were treated with neurological treatment in our hospital. According to the random number method,the patients were divided into control group and observation group. There were 50 patients in each group. The control group of patients were given conventional treatment while the observation group of patients in the control group on the basis of treatment,plus the use of items in the memory test for patients with periodic training,the effect of treatment was compared. Results The data of each item in the control group and the observation group were different from those before treatment (P<0.05). From the data point of view,all of them were higher than those before treatment,and the data after treatment were heavier. The difference between the control group and the observation group was statistically significant (P<0.05). From the data point of view,all of the observation group was higher than the control group, the observation group of patients in the treatment of one month,two months and three months of the items in the memory test scores of the various items were statistically significant(P<0.05). After the q test,the data of any two time were also statistically significant (P<0.05). From the numerical point of view, the memory capacity was significant (F=12.369,11.587,8.337,14.398,12.669,P<0.05). The number of items to recall,the number of effective reminders and the number of delayed recall of the four items for the data increased with the increase in treatment time,the number of invalid reminder for the data with the increase in treatment time,the control group of treatment efficiency (χ2=5.263,P<0.05). The data of the two groups were statistically significant (P<0.05). The difference between the two groups was statistically significant (χ2=5.263,P<0.05). The data of the two groups were statistically significant (Z=2.486,P<0.05),it was easy to see that the therapeutic effect of the observation group was significantly better than that of the control group. Conclusion The application of the Fuld Object Memory Evaluation in the training of patients with vascular cognitive impairment can significantly improve the therapeutic effect of patients and is worthy of promotion in a wider clinical scope.
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