针灸结合音乐疗法治疗脑卒中后认知障碍的临床观察
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摘要
目的:观察醒脑开窍针刺法配合音乐疗法,对脑卒中早期患者认知功能的影响。方法:选取2017年1月～2018年1月间在宜昌市第一人民医院神经内科、神经外科及康复医学科住院的脑卒中患者87例,按入院时间随机分为观察组43例和对照组44例。观察组采用针刺结合音乐疗法,对照组进行音乐疗法。应用MMSE评定认知功能,Barthel指数评定日常生活活动能力,治疗前及治疗4周后对两组患者进行评定。结果:治疗后,两组患者的MMSE、BI评分均较治疗前显著升高(P<0.01),且观察组治疗后的MMSE、BI评分显著高于对照组(P<0.05)。结论:针刺配合音乐疗法对改善脑卒中早期患者的认知功能障碍更加有利,并能促进患者日常生活能力更显著地提高。
Objectives: To abserve the effects of acupuncture and music therapy on post-stroke cognitive impairment. Methods: From January 2017 to January 2018, 87 stroke patients in our hosptial were randomly divided into observation group(n = 43) and control group(n = 44).The observation group was treated with acupuncture combined with music therapy, while the control group was treated with music therapy. Before and four weeks after the treatment, the functions of cognition were evaluated with the MMSE, the activities of daily living were evaluated with the Barthel Index(BI).Results: After treatment, the MMSE, BI score of the two groups was significantly higher than that of the control group(P<0.01), and the MMSE,BI score of the observation group was significantly higher than that of the control group(P<0.05). Conclusions: Acupuncture combined with music therapy is more beneficial to improve cognitive dysfunction in patients with early stroke and can promote the improvement of patients daily life ability more significantly.
Objectives: To abserve the effects of acupuncture and music therapy on post-stroke cognitive impairment. Methods: From January 2017 to January 2018, 87 stroke patients in our hosptial were randomly divided into observation group(n = 43) and control group(n = 44).The observation group was treated with acupuncture combined with music therapy, while the control group was treated with music therapy. Before and four weeks after the treatment, the functions of cognition were evaluated with the MMSE, the activities of daily living were evaluated with the Barthel Index(BI).Results: After treatment, the MMSE, BI score of the two groups was significantly higher than that of the control group(P<0.01), and the MMSE,BI score of the observation group was significantly higher than that of the control group(P<0.05). Conclusions: Acupuncture combined with music therapy is more beneficial to improve cognitive dysfunction in patients with early stroke and can promote the improvement of patients daily life ability more significantly.
引文
[1]中国卒中学会,卒中后认知障碍管理专家委员会.卒中后认知障碍管理专家共识[J].中国卒中杂志,2017,12(6):519-531.
[2]王新德.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[3]王旭霞,巩尊科,陈伟,等.脑卒中认知障碍患者MRS与简易精神状态量表的相关性研究[J].中国现代医药杂志,2014,16(5):40-43.
[4]卓大宏.中国康复医学[M].北京:华夏出版社,2007:121-123.
[5]Qu Y,Zhuo L,Li N,et al.Prevalence of Post-Stroke Cognitive Impairment in China:A Community-Based,Cross-Sectional Study[J].PLOS ONE,2015,10(4):e0122864.
[6]Danovska M,Stamenov B,Alexandrova M,et al.Post-stroke cognitive impairment phenomenologyand prognostic factors[J].Journal of IMAB,2012,18(3):290-297.
[7]Al-Qazzaz NK,Ali SH,Ahmad SA,et al.Cognitiveimpairment and memory dysfunction after a strokediagnosis:a post-stroke memory assessment[J].Neuropsychiatric Dis Treat,2014,(10):1677-1691.
[8]程颜梅,刘伟,孔会铎.脑卒中后认知功能障碍的危险因素[J].医学信息,2014,27(12):663-664.
[9]姚院芳,高翔.醒脑开窍针刺法结合康复疗法治疗脑卒中偏瘫患者30例[J].陕西中医,2013,34(8):1047-1048.
[10]石学敏.中风病与醒脑开窍针刺法[M].天津:天津科学技术出版社,2000:178.
[11]Alluri V,Toiviainen P,J skelinen IP,et al.Large-scale brain networks emerge fromdynamic processing of musical timbre,key and rhythm[J].Neuroimage,2012,59(4):3677-3689.
[2]王新德.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[3]王旭霞,巩尊科,陈伟,等.脑卒中认知障碍患者MRS与简易精神状态量表的相关性研究[J].中国现代医药杂志,2014,16(5):40-43.
[4]卓大宏.中国康复医学[M].北京:华夏出版社,2007:121-123.
[5]Qu Y,Zhuo L,Li N,et al.Prevalence of Post-Stroke Cognitive Impairment in China:A Community-Based,Cross-Sectional Study[J].PLOS ONE,2015,10(4):e0122864.
[6]Danovska M,Stamenov B,Alexandrova M,et al.Post-stroke cognitive impairment phenomenologyand prognostic factors[J].Journal of IMAB,2012,18(3):290-297.
[7]Al-Qazzaz NK,Ali SH,Ahmad SA,et al.Cognitiveimpairment and memory dysfunction after a strokediagnosis:a post-stroke memory assessment[J].Neuropsychiatric Dis Treat,2014,(10):1677-1691.
[8]程颜梅,刘伟,孔会铎.脑卒中后认知功能障碍的危险因素[J].医学信息,2014,27(12):663-664.
[9]姚院芳,高翔.醒脑开窍针刺法结合康复疗法治疗脑卒中偏瘫患者30例[J].陕西中医,2013,34(8):1047-1048.
[10]石学敏.中风病与醒脑开窍针刺法[M].天津:天津科学技术出版社,2000:178.
[11]Alluri V,Toiviainen P,J skelinen IP,et al.Large-scale brain networks emerge fromdynamic processing of musical timbre,key and rhythm[J].Neuroimage,2012,59(4):3677-3689.