摘要
目的:探讨康复训练对康复期精神分裂症患者认知功能障碍的治疗作用。方法:将72例精神分裂症康复期患者随机分成综合治疗组和对照组。综合治疗组为药物联合康复训练,为期12周,对照组单纯使用药物。在康复训练前后,两组分别进行瑞文标准推理测验(SPM)、临床记忆量表(CMS)、威斯康星卡片分类测验(WCST)和数字划销测验(CT)评定,并进行分析。结果:综合治疗组治疗后各指标较治疗前均有明显变化(P<0.05)。治疗后综合治疗组联想学习、人像特点联系回忆以及记忆商数组间比较差异有统计学意义。治疗后两组间粗分、净分、失误率得分均有显著性差异。综合治疗组治疗后较治疗前三个指标的变化均有统计学意义(P<0.05)。结论:康复训练能够不同程度的改善精神分裂症康复期患者的认知功能水平,但需进一步研究验证其疗效。
Objective:To explore the influence of rehabilitation training on the cognitive impairment of patients with convalescent schizophrenia.Methods:72convalescent schizophrene were divided into two groups randomly.The patients of combined therapy group were treated by antipsychotic medication and rehabilitation-training for 12weeks.The control group was only medication therapy group.Before and after training,Raven's Standard Progressive Matrices(SPM),Clinic Memory Scale(CMS), Wisconsin Card Sorting Test(WCST)and Number Cancellation Test(CT)were administered to all subjects.Results:All index of patients of combined therapy group had a significant change(P〈0.05)after training,for example,association learning,portrait feature remembrance and remembrance quantity.There were significant differences between two groups in gross score,net score and error ratio.Conclusion:Combining rehabilitation training with antipsychotic can improve cognitive function of patients with convalescent schizophrenia.But it need more evidence.
出处
《天津护理》
2010年第4期192-194,共3页
Tianjin Journal of Nursing
关键词
精神分裂症
康复期
康复训练
认知功能
Schizophrenia
Convalescence
Rehabilitation training
Cognitive function