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1. 漯河医学高等专科学校第三附属医院内科
2. 新乡医学院第二附属医院医学影像科
纸质出版日期:2021,
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[1]辛庆锋,魏慧敏,梁潘,李卓,张海三.社区综合健康管理模式对非痴呆型血管性认知功能障碍患者认知功能的影响[J].保健医学研究与实践,2021,18(01):68-71.
Xin Qingfeng, Wei Huimin, Liang Pan, et al. Effects of a community-based integrated health management model on patients with non-demented vascular cognitive impairment[J]. Health Medicine Research and Practice, 2021,18(1):68-71.
[1]辛庆锋,魏慧敏,梁潘,李卓,张海三.社区综合健康管理模式对非痴呆型血管性认知功能障碍患者认知功能的影响[J].保健医学研究与实践,2021,18(01):68-71. DOI:
Xin Qingfeng, Wei Huimin, Liang Pan, et al. Effects of a community-based integrated health management model on patients with non-demented vascular cognitive impairment[J]. Health Medicine Research and Practice, 2021,18(1):68-71. DOI:
目的探讨社区综合健康管理模式对非痴呆型血管性认知功能障碍(VCIND)患者认知功能的影响。方法选取2018年1—12月在河南省某医院诊治的64例VCIND患者为研究对象
采用随机数字表法将患者分为研究组和对照组
每组32例。对照组患者接受相关知识宣教
研究组患者接受营养干预、体育锻炼、认知训练及调控心血管疾病危险因素的社区综合健康管理。比较2组患者干预12周时的蒙特利尔认知评估量表(Mo CA)评分、连线测验(TMT)所需时间和Barthel指数(BI)评分。结果干预前
2组患者Mo CA评分、TMT用时、BI评分比较
差异均无统计学意义(P>0.05)。干预12周时
2组患者Mo CA评分、BI评分均高于干预前
且研究组明显高于对照组
差异均有统计学意义(P<0.05);干预12周时
2组患者TMT用时短于干预前
且研究组明显短于对照组
差异均有统计学意义(P<0.05)。结论社区综合健康管理模式可有效提高VCIND患者的认知功能
提高患者日常生活活动能力
有助于延缓VCIND患者病情进展。
Objective To explore the impact of community-based integrated health management model on patients with non-demented vascular cognitive impairment(VCIND). Methods Sixty-four patients with VCIND treated in a hospital in Henan Province from January 2018 to December 2018 were selected for the study
and the patients were divided into a study group and a control group using a random number table
with 32 cases in each group.Patients in the control group received relevant knowledge education
while patients in the study group received nutritional intervention
physical exercise
cognitive training and comprehensive community health management for regulation of metabolic and vascular risk factors. The Montreal Cognitive Assessment(MoCA) scores
the time required for the Trail Making Test(TMT) and the Barthel Index(BI) scores at 12 weeks of intervention were compared between the two groups. Results Before the intervention
there were no statistically significant differences in MoCA scores
time taken for TMT
and BI scores between the 2 groups(P >0.05). At 12 weeks of intervention
the MoCA scores and BI scores of the two groups were higher than before the intervention
and those in the study group were significantly higher than the control group(P <0.05); at 12 weeks of intervention
the TMT time of the two groups was shorter than before the intervention
and that in the study group was significantly shorter than the control group(P <0.05). Conclusion The community-based integrated health management model can effectively promote the cognitive function of VCIND patients
improve their ability to perform activities of daily living
and help delay the progression of VCIND.
社区综合健康管理非痴呆型血管性认知功能障碍营养干预体育锻炼认知训练
Comprehensive community health managementNon-demented vascular cognitive impairmentNutritional interventionPhysical exerciseCognitive training
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