Effect of Chinese reading aloud training on cognitive function in patients with vascular cognitive impairment no dementia

中华行为医学与脑科学杂志 Pub Date : 2020-01-20 DOI:10.3760/CMA.J.CN371468-20190728-00491

Wenying Li, Jing Shi, Hongye Zhu, Yanfeng Zhang, Lan-Ying Zhang, Huijun Han

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Abstract

Objective To investigate the effect of Chinese reading aloud training (c-RAT) on cognitive function and activities of daily living in patients with vascular cognitive impairment no dementia (VCIND). Methods From January 2018 to January 2019, totally 80 patients with VCIND in the General Hospital of Xingtai Mining Group were enrolled.Subjects were randomized grouped into c-RAT group (n=43) and control group (n=37). The c-RAT group was asked to read aloud the Chinese paper for 5 days a week for 12 weeks.At the time of enrollment and 12 weeks after the intervention, the Montreal cognitive assessment (MoCA), trail making test (TMT), auditory verb learn test (AVLT), digit symbol substitution test (DSST) and modified Barthel index (MBI) were filled out. Results Compared with control group, the difference of D-value in c-RAT group was statistically significant in MoCA total scores(4.00(2.00), 1.50(0.50), Z=3.012, P=0.003), scores of MoCA-Visual space execution (2.00(1.00), 0.00(2.00), Z=2.787, P=0.008), MoCA-attention (1.00(1.00), 0.00(0.50), Z=2.369, P=0.022), MoCA-language (1.00(1.00), 0.00(0.75), Z=3.049, P=0.000)and MoCA-delayed recall(2.00(2.00), 0.00(1.00), Z=2.043, P=0.014), TMT-A scores (-8.00(23.00), 10.50(30.25), Z=2.120, P=0.039), AVLT scores (1earning)(3.00(2.00), 0.50(0.75), Z=2.266, P=0.039) , AVLT scores (recall)(2.00(1.00), 0.00(1.00), Z=2.974, P=0.003)、AVLT scores (recognition) (2.00(0.00), 0.50(1.50), Z=3.054, P=0.000)and DSST scores ((4.96±0.71), (2.39±0.78), t=2.572, P=0.014), while there were no significant differences in the rest parts of MoCA, TMT-B and MBI(P>0.05). The increased scores in DSST were positively correlated (r=0.205, P=0.006) with the number of reading aloud tasks finished. Conclusion C-RAT can improve general cognition, especially in information processing speed, executive function, attention and auditory memory. Key words: Learning therapy; Mild cognitive impairment; Vascular dementia; Information processing speed

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中文朗读训练对血管性认知障碍非痴呆患者认知功能的影响

目的探讨中文朗读训练(c-RAT)对血管性认知障碍(VCIND)患者认知功能及日常生活活动的影响。方法选择2018年1月~ 2019年1月邢台矿业集团总医院收治的VCIND患者80例。将受试者随机分为c-RAT组(n=43)和对照组(n=37)。c-RAT组每周5天大声朗读中文论文，持续12周。在入组时和干预后12周，分别填写蒙特利尔认知评估(MoCA)、造径测验(TMT)、听觉动词学习测验(AVLT)、数字符号替代测验(DSST)和改良Barthel指数(MBI)。结果与对照组比较，c-RAT组MoCA总分(4.00(2.00)、1.50(0.50)、Z=3.012, P=0.003)、MoCA-视觉空间执行得分(2.00(1.00)、0.00(2.00)、Z=2.787, P=0.008)、MoCA-注意得分(1.00(1.00)、0.00(0.50)、Z=2.369, P=0.022)、MoCA-语言得分(1.00(1.00)、0.00(0.75)、Z=3.049, P=0.000)、MoCA-延迟回忆得分(2.00(2.00)、0.00(1.00)、Z=2.043, P=0.014)、TMT-A得分(-8.00(23.00)、10.50(30.25)、Z=2.120, P=0.039)、MoCA-延迟回忆得分(-8.00(23.00)、10.50(30.25)、Z=2.120, P=0.039)，差异均有统计学意义。AVLT评分(1学习)(3.00(2.00)、0.50(0.75)，Z=2.266, P=0.039)、AVLT评分(回忆)(2.00(1.00)、0.00(1.00)，Z=2.974, P=0.003)、AVLT评分(识别)(2.00(0.00)、0.50(1.50)，Z=3.054, P=0.000)和DSST评分((4.96±0.71)、(2.39±0.78)，t=2.572, P=0.014)，其余部分MoCA、TMT-B和MBI评分差异均无统计学意义(P = 0.05)。DSST得分的增加与朗读任务完成次数呈正相关(r=0.205, P=0.006)。结论C-RAT可提高一般认知能力，特别是在信息处理速度、执行功能、注意力和听觉记忆方面。关键词:学习治疗;轻度认知障碍;血管性痴呆;信息处理速度

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来源期刊

中华行为医学与脑科学杂志

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期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.