| Background:The outbreak rate and the rate of disability of cerebral stroke are very high. The companion has the sufferer of the cognition obstacle to have about 43.5%, memory obstacle among them to have a half. The existence of the memory obstacle not only influences a sufferer to recover from illness healing, but also influences the instauration of the function, aggravating the burden of the family and society.Modern rehabilitation that rises in recent years get generally accepted, turn into indispensable link in therapy. Howerer, the aim at the recover from the memory obstacle methods are lack. The errorless learning among them is an effective rehabilitation training path. The western medicine which is used for treating dysmnesy can't win satisfactory curative effect. The Chinese medicine cures a forgetful history source to flow far long, curative effect affirmation. It treat diseases by differentiation of syndromes, in order to improve memory obstacle at all.Objective:Clinical curative effect inquiried into chifukang koufuye combined errorless learning to treat memory deficits following stroke. Investigating an effective method which is used the Chinese medicine combined modern rehabilitation to heal memory obstacle.Methods:Adoption random check against experiment, sieving the qualified stroke sufferer press in brief random the method is divided into: The chifukangkoufuy combined errorless learning group(again call an A set), errorless learning group(call a B set again), the feminine gender matched control(call a C set again). The A group patients to accept to have errorless learning training and chifukangkoufuye to take orally, the time is 1 month. The B set to accept to have errorless learning training only, the time is I month. The feminine gender matched control doesn't accept to have treatment. Theneuropsychological evaluations at the start, during the end of the training programme and one-month follow included the Chinese Version of theNeurobehavioral Cognitive Status Examination, the Rivermead Behavioral Memory Test - Chinese Version the Hong Kong List Learning Test. Then we judged clinical effect according to the assessments. At last, SPSS 12.0 for windows was used for item coding, data-base structure establishment, data entry, database management and analysis. The following statistical methods of the data are adopted: measurement data were analyzed with repeated measure-test,α=0.05.Research result:1. Demographic characteristics of the subjects24 subjects were able to complete all of the sessions, and their final post-tests and follow up were analyzed. No significant differences in age, gender, diagnosis, side of stroke and education level etc were found among the three groups.2. Comparing knowledge and concepts of independent cognitive functions as measured by NCSE among the A, B, and C groups After 20-session training, some sub-test items of NCSE were improved significantly compared to pre-training including orientation, comprehension, construction, memory; (P＜0.05) in the A group: there were similar changes in errorless learning group, such as sub-test items of orientation, repetition, construction, memory etc. No significant difference was shown in C group. No statistically significant differences were found when comparing the post-training outcome measures with the follow-up results in both A and B groups. The chifukang koufuye conbined errorless ]earning group group demonstrated a more significant positive effectiveness than errorless learning group in memory.3. Comparing the ability to remember a functional memory activity or to perform a functional skill that requires memory as measured by RBMT among the A, B, and C groupsAfter 20-session training, some sub-test items of RBMT-CV were improved significantly compared to pre-training. The chifukang koufuye combined errorless learning group showed a statistically significant within-group improvement in article, picture, story recall(immediate), story (delay), total scores. The errorless learning training group showed, however, significantly difference in picture, story recall(immediate), face, envelope, total scores. No significant difference was shown in C group. The cbifukang koufuye combined errorless learning group demonstrated a more significant positive effectiveness than errorless learning group in picture and total scores.4. Comparing the learning strategies and memory process as measured by HKLLT among the A, B, and C groupsThe means and standard deviations of the three groups pre and post-training were computed using two sets of data: the random condition (word list randomly arranged) and block condition (semantic related word-list). The encoding, storage and retrieval memory processes were evaluated separately in both conditions. The Chifukang koufuye combined errorless learning group demonstrated significant positive change in memory processes parameters, and similar significant results were also found in errorless learning group. Analysis of repeated analysis variance was used again to compare differences across the three groups. The cbifukang koufuye combined errorless learning group demonstrated a more significant positive effectiveness than errorless learning group and negative comparison group in encoding and storage (in the random and blocked conditions), statistically significant differences were found (P＜0.05).Conclusion1. The chifukang koufuye combined errorless learning and the errorless learning training are likely to be effective methods to improve memory capacity following cerebral stroke. Producing a better carry over treatment effect of a month.2. The chifukang koufuye combined errorless learning group has a more effectiveness effection than errorless learning training, especially in improving the memory skills of encoding, storage of memory process etc.
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