摘要目的 探讨强化护理干预对老年血管性痴呆的患者功能恢复的影响。方法 将216例患者随机分为强化护理组(n=116)和一般护理组(n=100)，一般护理组予常规护理，强化护理组在此基础上给予功能康复训练、心理障碍以及认知障碍的康复护理。比较护理干预前及干预4周后两组简易智力状态量表(MMSE)、长谷川痴呆量表(HDS)、临床痴呆量表(CDR)、韦氏记忆量表(WMS-RC)、Blessed痴呆量表(IMCT)、简式Fugl-Meyer运动功能评分法(FMA)、社会功能活动调查表(FAQ)和日常生活能力量表(ADL)的评分结果。结果 4周末强化护理组患者MMSE评分(19.86±3.15)，HDS评分(24.85±2.39),WMS-RC评分（62.24±8.71），IMCT评分(25.39±5.62)、FMA评分(68.71±14.18)，ADL评分(67.39±14.29)，均高于一般护理组；CDR评分低于一般护理组，差异均有统计学意义(t=3.96，6.09，2.11,3.83，3.87，6.12，3.06，9.54;P＜0.01或P＜0.05)。强化护理组干预前后各项评分差异有统计学意义(P＜0.01)，而一般护理组差异无统计学意义(P＞0.05)。结论 综合康复训练能改善患者的认知功能和日常生活自理能力，延缓病情发展。

abstractsObjective To discuss the effect of intensive nursing intervention on elderly patients with vascular dementia. Methods 216 senile cases with vascular dementia were randomly divided into 2 groups:intensive nursing group (n =116) and control group (n =100). Intensive group received 4-week rehabilitation training. The Mini-Mental State Examination( MMSE), the Hasegawa' s dementia Scale (HDS), the Clinical Dementia Rating Scale ( CDR), the Wechsler memory scale-revised in China for Adult ( WMS-RC ), the Blessed Dementia Scale( information-memory-concentration test, IMCT), the Fugl-Meyer Assessment (FMA),the Functional Activities Questionnaire (FAQ) and the Activity of Daily Living Scale (ADL) were applied at the beginning of the treatment and at the end of 4 weeks to evaluate the cognitive function and daily living ability.Results Scores of MMSE (19.86±3. 15), HDS (24.85 ±2.39), WMS-RC (62.24±8.71), IMCT (25.39±5.62) , FMA (68.71 ± 14. 18) and ADL (67.39 ± 14.29) of the patients in both groups at the end of 4 weeks showed significant difference (t =3.96, 6.09, 2.11, 3.83, 3.87, 6. 12, 3.06,9.54, respectively, P＜0. 01 or P ＜0. 05) ; CDR and FAQ of intensive nursing group was significantly reduced (t =2. 98,9. 49;P ＜0. 01 ) while that of control group was of no obvious difference (P ＞0. 05) ; the score improvement of 8 kinds of figures before and after treatment in rehabilitation training group was much greater than that in control group (P ＜ 0. 05 ). Conclusions Rehabilitation training can obviously improve the cognition and daily living ability of the senile patients with vascular dementia and it can also delay the dementia progress.