Abstract: Objective　To observe the effects of enhanced video interactive training on patients with vascular cognitive impairment no dementia (VCIND)after cerebral apoplexy.Methods　60 patients with VCIND after cerebral apoplexy in line with inclusion standards in Department of Rehabilitation Medicine,Anhui Provincial Hospital from November 2013 to September 2015 were selected.They were divided into the research group and the control group with random number table method,each of 30 cases.Patients in both groups were treated with conventional therapy,including drug therapy such as trophic nerve and improvement of brain function,and regular exercise functional rehabilitation training;besides the regular therapy,patients in the research group also received enhanced video interactive cognitive training guided by professionals,and their relatives also received professional training and guide to participate in the training.The enhanced video interactive cognitive training was conducted 60 min each time,1 time per day,and 5 times per week.The Montreal Cognitive Assessment (MoCA)scores and Barthel Indexes (BI) scores of patients in the two groups before the training and one month after the training were compared.Results MoCA scores of the control group and the research group were (19.1±2.4)and (19.5±2.5)respectively before the training,which became (21.4±2.4)and (23.7±2.3)respectively one month after the training;BI scores of the control group and the research group were (73.2±11.9)and (74.3±13.2)respectively before training,which became (77.7±11.3)and (85.8±8.2) respectively one month after the training;there was no significance difference in the MoCA and BI scores between the two groups (tMoCA=0.633,tBI=0.359,P>0.05);after training,the MoCA and BI scores of the research group were significantly higher than those of the control group (tMoCA=3.774,tBI=3.215,P<0.01).Conclusion　Enhanced video interactive training could improve cognitive function and mobility in daily life of patients with VCIND after cerebral apoplexy.

Key words: Stroke, Cognition disorders, Dementia,vascular, Video interactive training

摘要： 目的　观察强化视频互动训练对脑卒中后非痴呆型血管性认知功能障碍（VCIND）的影响。方法　选取2013年11月—2015年9月在安徽省立医院康复医学科住院的符合纳入标准的脑卒中后VCIND患者60例，按照随机数字表法分为研究组和对照组，各30例。两组患者均给予常规治疗，包括营养神经、改善脑功能等药物治疗及进行常规运动功能康复训练；研究组患者在常规治疗基础上进行由专业人员指导的强化视频互动训练，患者家属也接受专业的培训和指导，并一起参加训练。强化视频互动训练60min/次，1次/d，5次/周。比较两组患者训练前、训练1个月后蒙特利尔认知评估量表（MoCA）和Barthel指数（BI）评分。结果　训练前对照组、研究组MoCA评分分别为（19.1±2.4）分、（19.5±2.5）分，训练1个月后对照组、研究组MoCA评分分别为（21.4±2.4）分、（23.7±2.3）分；训练前对照组、研究组BI评分分别为（73.2±11.9）分、（74.3±13.2）分，训练1个月后对照组、研究组BI评分分别为（77.7±11.3）分、（85.8±8.2）分。训练前两组患者MoCA、BI评分比较，差异无统计学意义（t值分别为0.633、0.359，P>0.05）；训练后研究组患者MoCA、BI评分均高于对照组（t值分别为3.774、3.215，P<0.01）。结论　强化视频互动训练能有效改善脑卒中后VCIND患者的认知功能及日常生活活动能力。

关键词: 卒中, 认知障碍, 痴呆, 血管性, 视频互动训练