摘要
目的探讨认知行为干预在预防全髋关节置换术后认知功能障碍的临床疗效。方法选择2010年1月-2011年6月本科室接受全髋关节置换手术的住院老年患者40例,依据入院顺序间隔分为对照组和干预组各20例,两组均给予常规治疗,干预组术前予以认知行为干预;术后24 h、48 h采用MMSE量表和CDT量表,对术后认知功能进行评分。从神经心理学角度对老年患者术后的认知功能进行评价。结果两组患者MMSE量表和CDT量表评分均有不同程度的降低,但对照组下降更明显,两组评分比较差异有统计学意义(P<0.05)。对照组有5例患者发生功能障碍,干预组术后未发生。结论术前给予患者相应的认知干预可有效缓解患者在记忆力、语言、定向力、视空间结构及执行功能方面的衰退,减少全髋关节置换术后认知功能障碍的发生。
Objective To explore the clinical effects according to the Cognitive behavior intervention to prevent postoperative cognitive dysfunction after replacement of total hip.Methods 40 elderly patients were chosen in Orthopedics Department with artificial hip replacement surgery from Jan.2010 to June 2011.According to the order of 40 patients,they were divided into the control group and the intervention group,with 20 cases each group.The two groups were given conventional therapy,and the intervention group was given cognitive behavioral intervention pre-operation.24 and 48 hours after operation,the cognitive function after surgery was scored by the MMSE scale and CDT scale.From nerve psychology,postoperative cognitive function of elderly patients was evaluated.Results MMSE scale and CDT rating scale in two groups of patients dropped in different degree,but the control group was more obviously.The score comparison of two groups was statistically significant（P0.05）.5 patients in the control group had function obstacle,but which did not happen in the intervention group after operation.Conclusion Before operative,the corresponding cognitive intervention can effectively relieve patients＇ recession in memory,language,directional force,looking space structure and executive function,reduce the incidence of cognitive dysfunction after replacement of total hip.
出处
《中华全科医学》
2012年第5期756-757,共2页
Chinese Journal of General Practice
关键词
认知行为干预
全髋关节置换
认知功能障碍
Cognitive behavior intervention
Replacement of total hip
Postoperative cognitive dysfunction
