聚焦解決模式在阿爾茨海默病合并腦血栓患者的應用效果

殷紅霞　張偉　王瑛莉

[摘要] 目的 探討聚焦解決模式在阿爾茨海默病合并腦血栓患者的應用效果。 方法 分析大連市中心醫院2015年1月～2018年1月收治的200例阿爾茨海默病合并腦血栓患者的臨床資料，依據干預措施不同進行分組，對照組（常規康復護理）100例和聚焦解決模式組（聚焦解決模式）100例。觀察兩組患者干預前后美國國立衛生研究院的腦卒中量表（NIHSS）評分、家庭功能評分、認知功能、語言功能和運動功能評分，以及臨床療效。 結果 兩組干預前NIHSS評分、家庭功能評分、認知功能、語言功能和運動功能評分比較，差異無統計學意義（P > 0.05）。干預后，兩組患者NIHSS評分高于干預前，家庭功能評分低于干預前，認知功能、語言功能和運動功能評分均高于干預前;聚焦解決模式組干預后NIHSS評分高于對照組，家庭功能評分低于對照組，認知功能、語言功能和運動功能評分均高于對照組，差異有統計學意義（P < 0.05）。聚焦解決模式組患者臨床治療總有效率高于對照組，差異有統計學意義（P < 0.05）。 結論 聚焦解決模式在阿爾茨海默病合并腦血栓患者中應用，可以降低神經功能損傷，提高認知功能和運動功能，值得臨床推廣應用。

[關鍵詞] 聚焦解決模式;阿爾茨海默病;腦血栓;美國國立衛生研究院的腦卒中量表;家庭功能;認知功能;語言功能;運動功能

[中圖分類號] R749.1? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1673-7210（2019）06（b）-0144-04

Application effect of focused resolution model in patients with Alzheimer′s disease complicated with cerebral thrombosis

YIN Hongxia1? ?ZHANG Wei1? ?WANG Yingli2

1.No.2 Neurology Department， Dalian Municipal Central Hospital， Laoning Province， Dalian? ?116033， China; 2.No.3 Neurology Department， Dalian Municipal Central Hospital， Laoning Province， Dalian? ?116033， China

[Abstract] Objective To explore the application effect of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis. Methods Clinical data of 200 patients with Alzheimer's disease complicated with cerebral thrombosis admitted to Dalian Central Hospital from January 2015 to January 2018 were analyzed. According to different interventions， they were divided into control group （100 cases and routine rehabilitation nursing） focusing on solving model group （focusing on solving mode） 100 cases. Before and after the intervention， the National Institutes of health stroke scale （NIHSS） score， family function score function and motor function， cognitive function， language score， and clinical efficacy of two goups were observed. Results There was no significant difference in NIHSS score， family function score， cognitive function， language function and motor function score between the two groups before intervention （P > 0.05）. After intervention， the NIHSS scores of two groups were higher than before the intervention， family function score was lower than before intervention， the cognitive function， the language function and motor function scores were higher than before the intervention; NIHSS scores of the focused solution model group was higher than that of the control group， and the family function score was lower than that of the control group， cognitive function， language function and motor function scoreswere higher than those of the control group， and the difference was statistically significant （P < 0.05）.The total clinical response rate of patients of the focused resolution model group was higher than that in the control group， and the difference was statistically significant （P < 0.05）. Conclusion The application of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis can reduce neurological damage and improve cognitive and motor functions， which is worthy of clinical application.

[Keywords] Solution focused approach; Alzheimer's disease; Cerebral thrombosis; National Institutes of health stroke scale; Family function score; Cognitive function; Language function; Motor function

阿爾茨海默病又被稱為老年性癡呆，屬于臨床常見的老年癡呆類型，其臨床表現主要是記憶力減退、抽象能力、思維能力和定向力功能障礙及社會功能減退等[1-2]。2014年研究結果顯示，全世界癡呆患者達到4400萬，預計到2050年癡呆患者數量將會達到13 000萬左右[3-4]。目前，我國阿爾茨海默病患者近800萬，每年以100萬的新發病例不斷增多[5-6]。阿爾茨海默病常會合并腦血管疾病，比較常見的是合并腦血栓，不僅影響了患者的神經功能，同時在一定程度上增加了認知功能、語言功能和運動功能障礙的概率，嚴重者造成患者致殘率、致死率增加[7-8]。采取……