Objective To compare 6 sub-function scale differences of frontal lobe function rating scale or a Frontal Assessment Battery(FAB)among patients with two subtypes of vascular cognitive impairment(VCI) to provide clues for the distinctive intervention and disease prevention and control of patients with two subtypes.Methods Totally 220 non-dementia vascular cognitive impairment (NDVCI)patients and 68 patients with vascular dementia(VaD)with final diagnosis were selected.The overall function and six sub-function scores were tested by FAB.Analyzing the score difference and probing a progress tendency from NDVCI to VaD were performed.Results The scores of frontal lobe function rating scale were higher in NDVCI(14.0 ± 2.8)than in VaD (9.5±2.0) patients with significant difference(t =29.92,P =0.00).The scales of frontal lobe function rating score of conceptualization ability (t =6.24,P =0.00),intelligence flexibility (t =7.00,P =0.00),antiinterference ability(t =7.21,P =0.00) and attention suppression(t =5.32,P =0.00) were lower in VaD group than in NDVCI group.The conceptualization weight capacity was significantly lower in VaD group than in NDVCI group(0.04 versus 0.32).Conclusions During a transitive process from NDVCI to VaD,it is important to focus on the mutation and deterioration of conceptualization capacity.

Objective To analyze the effect of nursing training on the recovery of ankle function in children undergoing external fixation after tibial and fibular distal spiral fractures.Methodis A total of 50 patients with thoracic and fibrosalectomy were randomly divided into control group (routine nursing measures) and the experimental group(rehabilitation training and psychological care based on routine nursing measures),ankle joint activity and Kofoed ankle score,tibial and fibular fracture healing time,anxiety and depression after 4 months were compared.Results There were significant differences in stretch,flexion,pronation,supination,ectropion and varus when load bearing of the ankle joint between the two groups (P ＜ 0.05);The was significant differences in bone healing time,Kofoed ankle scores,anxiety and depression scores (P ＜ 0.05).Conclusion Psychological care for distal tibia and fibula spiral fractures can help to promote fracture healing,and recovery of ankle activity and function.

Objective To analyze the effect of nursing training on the recovery of ankle function in children undergoing external fixation after tibial and fibular distal spiral fractures.Methodis A total of 50 patients with thoracic and fibrosalectomy were randomly divided into control group (routine nursing measures) and the experimental group(rehabilitation training and psychological care based on routine nursing measures),ankle joint activity and Kofoed ankle score,tibial and fibular fracture healing time,anxiety and depression after 4 months were compared.Results There were significant differences in stretch,flexion,pronation,supination,ectropion and varus when load bearing of the ankle joint between the two groups (P ＜ 0.05);The was significant differences in bone healing time,Kofoed ankle scores,anxiety and depression scores (P ＜ 0.05).Conclusion Psychological care for distal tibia and fibula spiral fractures can help to promote fracture healing,and recovery of ankle activity and function.