Observation On The Clinical Effect Of Computer-assisted Cognitive Training System On Patients With Cognitive Impairment After Stroke

Background and ObjectivePost-stroke cognitive dysfunction(PSCI)refers to one or more disorders such as attention,memory,and thinking ability of patients within six months after stroke.These disorders will directly affect the recovery of patients’ motor function and ability to live independently,and affect the patients’ return to family and society.Therefore,how to effectively prevent,early diagnose and effectively treat PSCI patients has become the focus of current research.Computer-assisted cognitive rehabilitation(CACR)is to evaluate the cognitive function of patients through a computer interaction interface and intelligently recommend the corresponding training methods and contents according to the cognitive impairment of patients to improve their cognitive function.Computer-aided cognitive training includes memory,attention,computational reasoning,flexibility,and sensory perception training,accurately grasping the implementation process of different methods and accurately evaluating the therapeutic effects of different methods,which is of positive significance for promoting the rehabilitation of patients with PSCI.The purpose of this study was to investigate the clinical effects of computer-aided cognitive training system on patients with cognitive impairment after stroke.Methods102 patients with post-stroke cognitive dysfunction hospitalized in the Department of Rehabilitation,Henan Provincial Hospital of Traditional Chinese Medicine from November 2018 to August 2020 were selected as the research object.Patients were randomly divided into control group and observation group,with 48 patients in control group and 54 patients in observation group,all of whom were given routine drug treatment and rehabilitation treatment.The control group received routine cognitive function training according to Chinese guidelines for rehabilitation treatment of stroke,while the observation group received cognitive function training by computer-aided cognitive training system.Both the control group and the observation group were trained for 30 minutes each time,5 times a week,for a total of 8 weeks.The mini-mental state examination(MMSE)and Montreal cognitive assessment(MOCA)were used to count patients’ scores before treatment,after 4 weeks of treatment and after 8 weeks of treatment respectively.ResultsThe differences in scores of MMSE and MoCA before treatment were not significant between the two groups(P>0.05).After 4 and 8 weeks of treatment,the scores of the observation group and the control group were increased,and the scores of the observation group were significantly higher than those of the control group(P<0.05).The scores of visual space,attention,abstract ability and delayed memory in the observation group were significantly higher than those in the control group after 4 and 8 weeks of treatment(P<0.05).For language and orientation,the scores of the observation group and the control group had no significant difference after four weeks of treatment(P>0.05),while the score of the observation group was higher than that of the control group after eight weeks of treatment(P<0.05).In terms of naming,there was no significant difference in the scores between the observation group and the control group after four and eight weeks of treatment(P>0.05).ConclusionsComputer-aided cognitive function training can improve the cognitive function of patients more effectively,with more significant effects in visual space ability,attention,abstract ability,delayed memory,language ability and directional force,which has a greater application prospect for improving the cognitive dysfunction of patients.