Rehabilitation training of early cognitive function after carotid endarterectomy
10.11659/jjssx.08E018099
- VernacularTitle:颈动脉内膜剥脱术后早期认知功能的康复训练
- Author:
Li-Ping LIAO
1
;
Ying CHEN
;
Ke WANG
;
Ying GAO
;
Xi HU
;
Na WANG
;
Jun WANG
Author Information
1. 重庆市急救医疗中心神经外科
- Keywords:
carotid endarterectomy;
cognitive dysfunction;
carotid artery stenosis
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(10):749-752
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of early cognitive rehabilitation training on cognitive function of patients after carotid endarterectomy. Methods The clinical data of 32 patients with carotid stenosis undergoing carotid endarterectomy ( CEA) admitted to the neurosurgery department of Chongqing emergency medical center from January 2016 to June 2018 were retrospectively analyzed.Sixteen pa-tients with conventional CEA admitted from January 2016 to June 2017 were treated as the control group.Sixteen patients with early cognitive rehabilitation training admitted from July 2017 to June 2018 were treated as cognitive on the basis of routine treatment after CEA.In the train-ing group,the Montréal Cognitive Assessment Scale (MoCA) scores at 1 week and 3 months after surgery were analyzed. Results There was no significant difference in MoCA score between the two groups (P>0.05) at 1 week after surgery compared with those before surgery. The MoCA scores of the two groups were significantly higher than those before the operation 3 months after surgery(P<0.05).The change of the cognitive training group was more significant than that of the control group(P<0.05). Conclusion After carotid endarterectomy,early cognitive rehabilitation training can help reduce the incidence of postoperative cognitive dysfunction and improve cognitive function.