Xu Xiao-Di, Ren Hong-Yan, Prakash Ravi, Kumar Rajesh
Department of Neurology, Liaocheng People's Hospital, Shandong, China.
Ann Indian Acad Neurol. 2013 Jul;16(3):319-28. doi: 10.4103/0972-2327.116909.
The reported prevalence of cognitive deficits within the first month of stroke ranges widely from 10% to 82%, depending primarily on the criteria used to define cognitive impairment and on the selected patient population. These cognitive defects progress toward impairment over a course of time if left untreated. Among the most common cognitive deficits are the attentional, the visuoperceptual, the memory and executive function deficits. As these impairments are being increasingly recognized in the scientific communities, more and more studies are being devoted to the outcomes of various therapies for these disorders. In this review, we focus on the outcomes of various therapies for these cognitive disorders over time. We reviewed all the possible medical databases using key words for individual cognitive deficit treatment outcomes. All the possible studies including randomized controlled trials, pre-post design studies, case series and single case reports were included in this study. On the basis of present literature review, we conclude that the evidence is definitively positive only for outcomes of attentional and visuoperceptive skill deficits. On the other hand, there have been very few studies to conclude for effectiveness of various therapies for memory and executive function outcomes.
据报道,中风后第一个月内认知缺陷的患病率差异很大,从10%到82%不等,这主要取决于用于定义认知障碍的标准以及所选的患者群体。如果不进行治疗,这些认知缺陷会随着时间的推移逐渐发展为障碍。最常见的认知缺陷包括注意力、视觉感知、记忆和执行功能缺陷。随着科学界对这些障碍的认识日益增加,越来越多的研究致力于各种治疗方法对这些疾病的疗效。在本综述中,我们关注随着时间推移各种治疗方法对这些认知障碍的疗效。我们使用关键词检索了所有可能的医学数据库,以获取个体认知缺陷治疗结果的相关信息。本研究纳入了所有可能的研究,包括随机对照试验、前后设计研究、病例系列和单病例报告。基于目前的文献综述,我们得出结论,只有注意力和视觉感知技能缺陷的治疗结果有明确的积极证据。另一方面,关于各种治疗方法对记忆和执行功能结果有效性的研究很少。