文章摘要
雷幸幸,宋鲁平.认知功能障碍非药物干预的研究进展[J].中国临床保健杂志,2020,23(2):157-160.
认知功能障碍非药物干预的研究进展
Study progress on the non-pharmacological treatments for cognitive impairment
投稿时间:2019-09-20  
DOI:10.3969/J.issn.1672-6790.2020.02.004
中文关键词: 认知功能障碍  处方,非药物  认知矫正  生活质量  综述
英文关键词: Cognitive dysfunction  Prescriptions,non-drug  Cognitive Remediation  Quality of life  Review 〖FL
基金项目:国家重点研发计划重点专项(2016YFF0201002) ;北京市卫生与健康科技成果和适宜技术推广项目(2018-TG-84);中国康复研究中心项目(2018ZX-12)
作者单位E-mail
雷幸幸 首都医科大学康复医学院,北京 100068 leixingxing2013@163.com 
宋鲁平 首都医科大学康复医学院,北京 100068
中国康复研究中心 北京博爱医院
神经损伤与康复北京市重点实验室 
songluping882002@aliyun.com 
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中文摘要:
      认知功能障碍泛指各种原因导致的各种程度的认知功能损害。由于药物治疗效果有限,非药物干预逐渐成为研究热点。非药物干预在配合改善认知功能药物(如胆碱酯酶抑制剂和N-甲基-D-天冬氨酸拮抗剂)治疗的同时,不仅可以改善认知功能障碍患者的认知功能,增加认知储备,还可使患者的生活充实有意义。非药物干预手段以认知训练为主,计算机辅助认知训练逐渐成为发展新趋势,其具有训练难度自适应、减轻工作量、远程居家训练和及时反馈等优点。其他方法包括运动干预(有氧运动、抗阻运动和太极等)、神经调控技术(重复经颅磁刺激和经颅直流电刺激等)、中医非药物干预(针刺治疗和推拿疗法等)、饮食干预、怀旧疗法和音乐疗法等。本研究对认知功能障碍的非药物治疗手段进行综述,以期为认知功能障碍的治疗提供理论支撑。
英文摘要:
      Cognitive impairment refers to various levels of cognitive function impairment.Due to the limited effect of drug treatment,non-pharmacological interventions have gradually become a research hotspot.Non-pharmacological treatment improves cognitive function in patients with cognitive impairment,increases cognitive reserve and makes patients′ life more meaningful.Non-pharmacological treatment is mainly based on cognitive training.Computer-aided cognitive training is a new trend.It has the advantages of adaptive training difficulty,reduced workload,home training and timely feedback.Other methods include exercise intervention (aerobic exercise,resistance exercise and tai chi,etc.),neuromodulation techniques (repetitive transcranial magnetic stimulation and transcranial direct current stimulation,etc.),Chinese medicine non-pharmacological interventions (acupuncture and massage therapy,etc.),dietary intervention,nostalgic therapy,music therapy,etc.Here we reviewed the non-pharmacological treatments for cognitive impairment in order to provide theoretical support for the treatment of cognitive impairment.
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