关键词: 康复训练, 脑卒中, 轻度认知障碍, 认知功能, 运动功能, 生活质量

Abstract: Objective To explore the effect of comprehensive rehabilitation training on cognitive function in patients with mild cognitive impairment after stroke．Methods A prospective study was conducted on 80 patients with mild cognitive impairment after stroke,who admitted to the hospital from February 2022 to February 2023．They were divided into a comprehensive rehabilitation group and a control group using a lottery method,with 40 patients in each group．The control group received routine intervention,while the comprehensive rehabilitation group received additional comprehensive rehabilitation training on the basis of the control group．Their cognitive function,Mini Mental State Examination Scale（MMSE）,National Institutes of Health Stroke Scale in the United States（NIHSS）score changes,motor function and balance function,daily living ability and quality of life were compared．Results After intervention,the Lowenstein Occupational Therapy Cognitive Scale scores of attention（3.36±0.42）,thinking and motor（17.34±2.31）,and orientation（13.19±1.24）in the comprehensive rehabilitation group were higher than those in the control group,and both groups had higher scores after intervention than before（P<0.05）．After intervention,the MMSE score（25.58±4.12）of patients in the comprehensive rehabilitation group was higher than that of the control group,and both groups had higher scores after intervention compared to those before intervention．The NIHSS score（14.53±2.62）was lower than that of the control group,and both groups had lower scores after intervention compared to those before intervention（P<0.05）．After intervention,the Fugl Meyer Assessment score（14.51±3.23）,Arm Movement Survey Test Form score（26.86±5.25）,and Balance Scale score（43.06±5.13）in the comprehensive rehabilitation group were higher than those in the control group,and both groups had higher scores after intervention than before（P<0.05）．After intervention,the Basic Activity of Daily Living score（53.02±4.43）and stroke specific quality of life score（97.11±12.23）in the comprehensive rehabilitation group were higher than those in the control group,and both groups had higher scores after intervention than before（P<0.05）．Conclusions Comprehensive rehabilitation training for patients with mild cognitive impairment after stroke can promote cognitive function recovery,improve motor function and balance function,enhance intelligence and neurological function,and further improve daily living ability and quality of life．

Key words: rehabilitation training, stroke, mild cognitive impairment, cognitive function, sports function, quality of life