认知康复治疗在多发性硬化认知功能损害中的积极作用

张焕;谢富华

【期刊名称】《中华神经医学杂志》

【年(卷),期】2011(010)008

【摘要】目的探讨认知康复治疗在多发性硬化(MS)认知功能损害中的积极作用。方法对广州医学院第二附属医院神经内科自2008年9月至2010年10月收治的40例MS存在认知功能损害的患者采用神经心理学测验方法系统评价神经行为认知状况、执行功能及整体认知功能，针对其出现的不同类型认知功能损害早期实行认知康复治疗策略，比较治疗前后患者各神经认知功能评分的差异。结果与认知康复治疗前相比，治疗后MS患者智能损害明显改善，神经行为认知状况中定向能力、专注能力、理解、语言、空间结构、记忆、判断等项目评分明显增高，执行功能相关量表评分明显增高，差异均有统计学意义(P ＜0.05)。结论认知康复治疗能明显改善MS患者认知损害中智商、神经行为认知状况、执行功能的损害，对MS患者的生活状况改善有积极的意义。%Objective To explore the role of cognitive rehabilitation in improving cognitive dysfunction of patients with multiple sclerosis (MS). Methods Forty patients with MS, admitted to our hospital from September 2008 to October 2010, were chosen; neuropsychological tests were employed to evaluate the neurobehavioral cognitive status, executive capacity and overall cognitive function, and patients with MS were treated with cognitive rehabilitation. The differences of neurocognitive function scores in these patients before and after