Comparison of the effect of rehabilitation intervention based on attention and working memory training on cognitive impairment of different types of stroke / 中风与神经疾病杂志

ABSTRACT

@#Objective To compare the prognosis of cognitive dysfunction in patients with cerebral hemorrhage and cerebral infarction by observing the effect of comprehensive rehabilitation intervention based on attention and working memory on the patients with cognitive dysfunction after cerebral hemorrhage and cerebral infarction.Methods A total of 44 patients with cognitive dysfunction after stroke admitted to the Rehabilitation Department of the First Hospital of Jilin University from September 2018 to January 2021 were selected，including 19 patients with cerebral infarction and 25 patients with cerebral hemorrhage，aged from 18 to 80 years，with the course of disease ranging from 2 weeks to 12 months. Both groups received cognitive training based on attention and working memory and conventional rehabilitation therapy，cognitive training 20 minutes a day,6 days/ week，for 4 weeks. Routine rehabilitation includes physical factor therapy，exercise therapy，occupational therapy，aerobic exercise，acupuncture，etc. Montreal Cognitive Assessment（MoCA） was used to assess Cognitive function in all patients before and after treatment.Results After treatment，MoCA scores of 2 groups were significantly higher than those before treatment，the difference was statistically significant（P<0.05）；The improvement of MoCA scores in cerebral hemorrhage group was higher than that in cerebral infarction group，and the difference was statistically significant（P<0.05）.Conclusion Comprehensive rehabilitation intervention based on attention and working memory can effectively improve the level of cognitive function in patients with intracerebral hemorrhage and cerebral infarction，and the prognosis of cognitive function after intracerebral hemorrhage may be better.