目的观察记忆障碍远程康复训练模式的疗效。方法2010 年8 月~2015 年4 月，将符合纳入标准的记忆障碍患者81例随机分为对照组(n=26)、仪器组(n=33)和远程组(n=22)。所有入组患者均服用改善脑血管药物。仪器组和远程组分别采用认知康复系统或其远程康复版进行以记忆康复为主的训练，共6 周。训练前后采用韦氏记忆量表、Rivermead 行为记忆测验第2 版和Rey听觉词语学习测验进行评定。结果训练后，仪器组和远程组各项成绩较治疗前明显提高(t>3.795, P<0.01)，远程组与仪器组间无显著性差异(P>0.05)。对照组两次评定成绩无显著性差异(t<0.771, P>0.05)。结论记忆障碍康复训练可明显改善患者的记忆能力，远程认知康复训练系统可以达到与本地训练相近的疗效。

Objective To investigate the effect of telerehabilitation on memory disorders. Methods From August, 2010 to April, 2015, 81 patients with memory disorders were randomized into control group (n=26), computer-assisted training group (n=33) and telerehabilitation training group (n=22). All the patients accepted medicine to facilitate the recovery of memory. Besides, the computer-assisted training group and the telerehabilitation training group accepted memory-based training programs with cognitive rehabilitation system locally or on network respectively, for six weeks. They were evaluated with Wechsler Memory Scale, Rivermead Behavioural Memory Test-2nd Edition and Rey Auditory Verbal Learning Test before and after training. Results Both computer-assisted and telerehabilitation training groups improved in all the assessment after training (t>4.059, P<0.001). There was no significant difference between them (P>0.05). There was no significant improvement in the control group after training (t<0.771, P>0.05). Conclusion Memory rehabilitation training can significantly improve memory abilities, similar with locally or telerehabilitation system.