摘 要
阿尔茨海默病（AD）是一种以认知功能衰退为特征的神经退行性疾病，其康复干预已成为研究热点。本研究旨在探讨认知训练对阿尔茨海默病患者认知功能恢复及生活质量改善的效益。通过随机对照试验，选取120名轻中度阿尔茨海默病患者，分为实验组和对照组，实验组接受为期6个月、每周3次的认知训练干预，内容涵盖记忆、注意力、执行功能等多维度任务，而对照组仅接受常规护理。结果表明，实验组在记忆测评量表（MMSE）、蒙特利尔认知评估（MoCA）以及日常生活能力量表（ADL）上的得分显著高于对照组（p0.05），且情绪障碍发生率明显降低。进一步分析发现，个性化、渐进式的认知训练方案能够有效延缓认知功能衰退，并提升患者的社会参与感与心理适应能力。本研究创新性地提出基于患者认知水平动态调整的训练模式，为制定个体化康复策略提供了理论依据，同时强调了早期干预的重要性，为阿尔茨海默病患者的综合管理开辟了新路径。
关键词：阿尔茨海默病；认知训练；记忆功能
Abstract
Alzheimer's disease (AD) is a neurodegenerative disorder characterized by cognitive decline, and its rehabilitative interventions have become a research hotspot. This study aimed to investigate the benefits of cognitive training on the restoration of cognitive function and the improvement of quality of life in patients with Alzheimer's disease. Through a randomized controlled trial, 120 patients with mild-to-moderate Alzheimer's disease were recruited and divided into an experimental group and a control group. The experimental group received cognitive training interventions for six months, three times per week, involving multi-dimensional tasks such as memory, attention, and executive function, while the control group only received routine care. The results showed that the experimental group scored significantly higher than the control group on the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Activities of Daily Living Scale (ADL) (p0.05), and the incidence of emotional disorders was markedly reduced. Further analysis revealed that personalized and progressive cognitive training programs could effectively delay cognitive decline and enhance patients' social participation and psychological adaptability. This study innovatively proposed a training model dynamically adjusted according to patients' cognitive levels, providing a theoretical basis for developing individualized rehabilitation strategies, while also emphasizing the importance of early intervention and opening new avenues for the comprehensive management of Alzheimer's disease patients.
Keywords: Alzheimer's Disease；Cognitive Training；Memory Function
目 录
引言 1
一、认知训练的理论基础 1
（一）阿尔茨海默病的认知特征 1
（二）认知训练的核心机制 2
（三）理论框架与实践意义 2
二、认知训练对记忆功能的影响 2
（一）记忆障碍的表现形式 2
（二）训练方法与记忆改善 3
（三）实验数据与案例分析 3
三、认知训练对日常生活能力的作用 3
（一）日常生活能力的评估标准 3
（二）具体训练方案的设计 4
（三）康复效益的实证研究 4
四、认知训练的长期效果与挑战 5
（一）长期效果的跟踪研究 5
（二）影响康复效益的因素 5
（三）当前研究的局限与展望 6
结 论 6
致 谢 7
参考文献 8
阿尔茨海默病（AD）是一种以认知功能衰退为特征的神经退行性疾病，其康复干预已成为研究热点。本研究旨在探讨认知训练对阿尔茨海默病患者认知功能恢复及生活质量改善的效益。通过随机对照试验，选取120名轻中度阿尔茨海默病患者，分为实验组和对照组，实验组接受为期6个月、每周3次的认知训练干预，内容涵盖记忆、注意力、执行功能等多维度任务，而对照组仅接受常规护理。结果表明，实验组在记忆测评量表（MMSE）、蒙特利尔认知评估（MoCA）以及日常生活能力量表（ADL）上的得分显著高于对照组（p0.05），且情绪障碍发生率明显降低。进一步分析发现，个性化、渐进式的认知训练方案能够有效延缓认知功能衰退，并提升患者的社会参与感与心理适应能力。本研究创新性地提出基于患者认知水平动态调整的训练模式，为制定个体化康复策略提供了理论依据，同时强调了早期干预的重要性，为阿尔茨海默病患者的综合管理开辟了新路径。
关键词：阿尔茨海默病；认知训练；记忆功能
Abstract
Alzheimer's disease (AD) is a neurodegenerative disorder characterized by cognitive decline, and its rehabilitative interventions have become a research hotspot. This study aimed to investigate the benefits of cognitive training on the restoration of cognitive function and the improvement of quality of life in patients with Alzheimer's disease. Through a randomized controlled trial, 120 patients with mild-to-moderate Alzheimer's disease were recruited and divided into an experimental group and a control group. The experimental group received cognitive training interventions for six months, three times per week, involving multi-dimensional tasks such as memory, attention, and executive function, while the control group only received routine care. The results showed that the experimental group scored significantly higher than the control group on the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Activities of Daily Living Scale (ADL) (p0.05), and the incidence of emotional disorders was markedly reduced. Further analysis revealed that personalized and progressive cognitive training programs could effectively delay cognitive decline and enhance patients' social participation and psychological adaptability. This study innovatively proposed a training model dynamically adjusted according to patients' cognitive levels, providing a theoretical basis for developing individualized rehabilitation strategies, while also emphasizing the importance of early intervention and opening new avenues for the comprehensive management of Alzheimer's disease patients.
Keywords: Alzheimer's Disease；Cognitive Training；Memory Function
目 录
引言 1
一、认知训练的理论基础 1
（一）阿尔茨海默病的认知特征 1
（二）认知训练的核心机制 2
（三）理论框架与实践意义 2
二、认知训练对记忆功能的影响 2
（一）记忆障碍的表现形式 2
（二）训练方法与记忆改善 3
（三）实验数据与案例分析 3
三、认知训练对日常生活能力的作用 3
（一）日常生活能力的评估标准 3
（二）具体训练方案的设计 4
（三）康复效益的实证研究 4
四、认知训练的长期效果与挑战 5
（一）长期效果的跟踪研究 5
（二）影响康复效益的因素 5
（三）当前研究的局限与展望 6
结 论 6
致 谢 7
参考文献 8
