认知训练改善卒中后认知功能障碍的系统评价(1)

http://www.100md.com 2017年4月1日 《中国民族民间医药·下半月》2017年第4期

     【摘要】目的：系统评价认知训练对卒中后认知功能障碍的疗效。方法：严格按照循证医学系统评价方法，收集所有认知训练对卒中后认知功能障碍的临床随机对照试验研究文献，并对纳入的研究逐个进行质量评价，而后采用RevMan50软件进行Meta分析。结果：7个研究共368例患者符合纳入标准。Meta分析结果显示：PSCI患者的MMSE评分(MD)=542，95%CI=(316，768)，差异有统计学意义(P<005)；BI评分(MD)=1117，95%CI=(440，1794)，差异有统计学意义(P<005)。结论：认知训练可有效改善卒中后认知功能障碍患者的认知功能和日常生活能力。

    【关键词】认知训练；脑卒中；认知功能障碍；系统评价

    【中图分类号】R493【文献标志码】 A【文章编号】1007-8517(2017)08-0078-05

    Abstract：Objective We conducted a meta-analysis to evaluate the efficacy of cognitive training on post-stroke cognitive impairment.Methods Randomized controlled trials (RCTs) comparing cognitive training with no cognitive training in addition to either medicine or rehabilitation were identified from Database. Meta-analyses were conducted for the eligible RCTs.Results Seven trials with a total of 368 patients met inclusion criteria. Pooled random-effects estimates of the change in the Mini-Mental State Examination were calculated for the comparison of cognitive training with no cognitive training in addition to medicine or rehabilitation. Following intervention with cognitive training ......