目的探讨丰富环境对于脑卒中患者神经功能恢复的作用。方法2013年5月至2015年11月,本院76例脑卒中患者随机分成对照组(n=39)和丰富环境组(n=37),两组患者均进行常规康复训练及药物治疗,丰富环境组在此基础上进行丰富环境干预。治疗前后采用简式Fugl-Myer评定量表(FMA)、蒙特利尔认知评估量表(MoCA)和改良Barthel指数(MBI)进行评价。结果治疗后,两组FMA、MoCA、MBI评分均提高(t>2.339, P<0.05),丰富环境组MoCA、MBI评分高于对照组(t>2.187, P<0.05)。结论丰富环境能进一步促进脑卒中后患者认知功能的改善,提高其日常生活能力。
ObjectiveTo investigate the effects of environmental enrichment (EE) on the neurological functions in patients with stroke. MethodsFrom May, 2013 to November, 2015, 76 patients with stroke were selected and randomly divided into control group (n=39) and EE group (n=37). Both groups received routine therapy and the EE group received EE in addition. They were assessed with simplified Fugl-Meyer Assessment (FMA), Montreal Cognitive Assessment (MoCA) and modified Barthel Index (MBI) before and after treatment. ResultsThe scores of FMA, MoCA and MBI increased in both groups after treatment (t>2.339, P<0.05), and the scores of MoCA and MBI increased more in the EE group than in the control group (t>2.187, P<0.05). ConclusionEE could promote the recovery of cognitive function and activities of daily living in patients with stroke.
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