虚拟现实技术对脑卒中恢复期患者认知功能的影响
摘要
目的:观察虚拟现实技术治疗脑卒中恢复期患者认知功能障碍的疗效。方法:选取首次发病的脑卒中恢复期患者40例,按照随机数字表法分为观察组和对照组,每组20例。对照组给予常规治疗,观察组在对照组的基础上给予VR训练,分别于治疗前、治疗4周后采用MMSE、LOTCA量表对患者进行评估。结果:治疗前,2组患者MMSE、LOTCA评分组间比较,差异无统计学意义(P>0.05)。治疗4周后,2组患者MMSE、LOTCA评分均较治疗前明显提高,组内比较差异具有统计学意义(P<0.05);并且,观察组患者治疗后MMSE、LOTCA评分均明显高于对照组治疗后,差异有统计学意义(P<0.05)。结论:在常规治疗的基础上增加VR训练可明显改善脑卒中恢复期患者的认知功能。
引文
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[2]夏清.脑卒中患者认知障碍评定与治疗[J].安徽医学,2018,39(10):1291-1292.
[3]中华医学会第四届全国脑血管病学术会议.各类脑血管病诊断要点[J].中华神经内科杂志,1996,29(6):379.
[4]罗卫欢,黄晓煌,凌水桥.经颅直流电刺激联合计算机辅助认知功能康复训练对脑卒中后认知功能障碍康复效果研究[J].中国处方药,2019,17(2):119-121.
[5]孙莉,沈晓艳,叶维,等.低强度激光鼻腔内照射对脑卒中后认知障碍患者的疗效观察[J].中国康复,2018,33(4):272-274.
[6]励建安.康复医学[M].第1版.北京:人民卫生出版社,2014:191.
[7]ZIETEMANN V,KOPCZAK A,MüLLER C,et al.Validation of the Telephone Interview of Cognitive Status and Telephone Montreal Cognitive Assessment Against Detailed Cognitive Testing and Clinical Diagnosis of Mild Cognitive Impairment After Stroke[J].Stroke,2017,48(11):2952-2957.
[8]LANGE B S,REQUEJO P,FLYNN S M,et al.The potential of virtual reality and gaming to assist successful aging with disability[J].Phys Med Rehabil Clin N Am,2010,21(2):339-356.
[9]温鸿源,李力强,龙洁珍,等.3D虚拟现实技术对脑卒中记忆功能障碍患者疗效及1H-MRS的影响[J].中国老年学杂志,2017,37(1):100-102.
[10]FARIA A L,ANDRADE A,SOARES L,et al.Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living:a randomized controlled trial with stroke patients[J].JNeuroeng Rehabil,2016,13(1):96.
[11]蔡天燕,冉春风,钞强,等.计算机辅助工作记忆训练对脑卒中后认知障碍的影响[J].中国康复,2016,31(5):377-379.
[12]肖湘,梁斌.虚拟现实训练对脑卒中恢复期患者认知功能和P300的影响[J].中国康复医学杂志,2019,34(3):339-341.
[13]BARRETT A M,BUXBAUM L J,COSLETT H B,et al.Cognitive rehabilitation interventions for neglect and related disorders:moving from bench to bedside in stroke patients[J].JCogn Neurosci,2006,18(7):1223-1236.
[14]贾建平.重视血管性认知障碍的早期诊断和干预[J].中华神经科杂志,2005,38(1):4-6.