中文摘要：

目的：探讨综合认知训练对社区健康老人认知功能的长期影响效果。方法：151名上海市某街道社区年龄〉170岁的老人参加研究。按先后顺序分为认知训练干预组90名和对照组61名。对干预组进行12周（共24次）的综合认知训练，采用中国老年成套神经心理测验（NTBE）及自编健康问卷，分别于干预前、干预结束、干预后1年对两组进行测评。结果：干预前，干预组NTBE中有1项优于对照组，1项低于对照组（P≤O．05），其他项目两组差异无显著性（P〉0．05）；1年后随访两组内比较，干预组NTBE分测验有19项（推理训练等）提高，4项下降（P≤0．05）；对照组NTBE分测验有11项提高，3项下降（P≤0．05）；1年后随访两组间比较，干预组NTBE分测验有3项（推理训练等）优于对照组（P≤0．05）。结论：综合认知训练对社区健康老人多项认知功能在1年后仍有一定影响，其中推理能力较为明显。

英文摘要：

Objective： To evaluate long-term effects of compositive cognitive training for community healthy elderly. Method： 151 community healthy elderly aged over 70 from one community were enrolled. They were divided into cognitive intervention group （90 samples ） and control group （61 samples ） by se- quence. The interventions were conducted in 24 sessions over 12 weeks. All individuals were assessed by neu- ropsychological test battery for elderly （NTBE） and a questionnaire＂shanghai health survey for the elderly＂ at baseline, intervention end and one year after intenvention. Results ： Baseline ： except that 1 subscale of NTBE was better, 1 subscale of NTBE was worse in intervention group than in control group（ P~〈0.05 ）, there were no significant differences between intervention group and control group on scores of other neuropsychological tests （P 〉 0.05）. Comparison within group at one year follow-up end： 19 subscales improved （reasoning ability, et al） and 4 subscales declined of NTBE in cognitive intervention group（ P≤0.05 ）. 11 subscales improved and 3 subscales declined of NTBE in control group （ P≤ 0.05 ）. Comparison between groups at one year follow-up end：3 subscales of NTBE （reasoning ability,et al） in intervention group were better than control group（P≤0.05）. Conclusion：The compositive cognitive training can improve cognitive functions for 1 year for community healthy elderly, especially on reasoning ability.