言语听觉反馈训练治疗脑卒中后认知功能障碍效果观察
摘要
目的观察言语听觉反馈训练治疗脑卒中后认知功能障碍的效果。方法将80例脑卒中后认知功能障碍患者随机分为对照组和观察组各40例,对照组采取常规康复治疗,观察组在对照组的基础上加用Forbrain言语听觉反馈训练,20 min/次,5次/周,共10周。治疗前及治疗10周后,采用蒙特利尔认知评估量表(MoCA)和洛文斯顿作业疗法认知评定量表(LOTCA-Ⅱ)评定患者的认知功能。结果两组干预前MoCA、LOTCA-Ⅱ各单项评分及总分均无统计学差异(P均>0.05)。干预后观察组MoCA总标准分、注意与集中、视结构技能、语言、抽象思维、记忆、定向力评分均较对照组提高,观察组LOTCA-Ⅱ总分、视知觉、视运动组织、思维操作、注意力及专注力评分较对照组提高(P均<0.05)。结论言语听觉反馈训练可改善脑卒中后认知功能障碍患者的认知功能。
引文
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[2]Kalaria RN,Rufus A,Masafumi I.Stroke injury,cognitive impairment and vascular dementia[J].Biochim Biophys Acta,2016,1862(5):915-925.
[3]Yang S,Ye H,Huang J,et al.The synergistic effect of acupuncture and computer based cognitive training on post-stroke cognitive dysfunction:a study protocol for a randomized controlled trial of 2×2 factorial design[J].BMC Complement Altern Med,2014,14(1):290.
[4]Jokinen H,Melkas S,Ylikoski R,et al.Post-stroke cognitive impairment is common even after successful clinical recovery[J].Eur J Neurol,2015,22(9):1288-1294.
[5]全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,29(6):381-383.
[6]王炜,王鲁宁.“蒙特利尔认知评估量表”在轻度认知损伤患者筛查中的应用[J].中华内科杂志,2007,46(5):414-416.
[7]巩尊科,陈伟,韩良,等.洛文斯顿作业疗法认知评定量表在脑卒中认知评定中的临床应用[J].中华物理医学与康复杂志,2012,34(9):661-664.
[8]Mohd Zulkifly MF,Ghazali SE,Che DN,et al.The influence of demographic,clinical,psychological and functional determinants on post-stroke cognitive impairment at Day Care Stroke Center,Malaysia[J].Malays J Med Sci,2016,23(2):53-64.
[9]Rohling ML,Faust ME,Beverly B,et al.Effectiveness of cognitive rehabilitation following acquired brain injury:a meta-analytic re-examination of Cicerone et al's(2000,2005)systematic reviews[J].Neuropsychology,2009,23(1):20-39.
[10]Loucks TM,Ofori E,Grindrod CM,et al.Auditory motor integration in oral and manual effectors[J].J Mot Behav,2010,42(4):233-239.
[11]Nasreddine ZS,Phillips NA,Bédirian V,et al.The ontreal cognitive assessment,Mo CA:a brief screening tool for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[12]Schlaug G,Marchina S,Norton A.Evidence for plasticity in white-matter tracts of patients with chronic broca's aphasia undergoing intense intonation-based speech therapy[J].Ann N Y Acad Sci,2009,1169(1):385-394.
[13]王鑫,孙彩花,施伟,等.音乐疗法对卒中后认知障碍的临床疗效[J].实用临床医药杂志,2014,18(19):10-13.
[14]杜晓霞,冯洪,何俊利,等.注意力训练对脑卒中后认知障碍的康复疗效[J].中国康复理论与实践,2011,17(3):212-214.
[15]许凤娟,黄丽虹,倪朝民,等.计算机辅助认知训练对脑卒中患者认知功能的影响[J].安徽医药,2015,19(8):1519-1520.
[16]毛晓红,魏秀红.听觉统合训练对轻度认知功能障碍老人认知能力的影响[J].中华护理杂志,2012,47(3):219-221.