摘要
目的探讨认知康复训练联合经颅直流电刺激对脑卒中后认知功能障碍患者康复效果的影响。方法选择2020年4月—2023年4月兰陵县人民医院收治的80例脑卒中后认知功能障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,每组40例。对照组接受经颅直流电刺激治疗,观察组在对照组治疗基础上进行认知康复训练,治疗时间均为4周。比较两组认知功能及生活质量。结果治疗前,两组蒙特利尔认知评估量表(MoCA)各维度评分及总分比较,组间差异无统计学意义(P>0.05);治疗后,观察组MoCA各维度评分及总分均高于对照组,组间差异有统计学意义(P<0.05)。治疗前,两组Barthel指数(BI)评分、Fugl-Meyer量表(FMA)评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组BI评分、FMA评分均高于对照组,组间差异有统计学意义(P<0.05)。结论认知康复训练联合经颅直流电刺激对治疗脑卒中后认知功能障碍患者的康复效果显著,对增强患者认知功能、生活质量及运动能力十分有效。
Objective To explore the effect of cognitive rehabilitation training combined with transcranial direct current stimulation on the rehabilitation of cognitive impairment patients after stroke.Methods 80 patients with cognitive impairment after stroke admitted to Lanling County People's Hospital from April 2020 to April 2023 were selected as the research objects and they were randomly divided into a control group and an observation group,with 40 patients in each group.The control group received transcranial direct current stimulation treatment,while the observation group received cognitive rehabilitation training on the basis of the control group's treatment.The treatment duration was 4 weeks.Compare cognitive function and quality of life between two groups.Results Before treatment,there was no statistically significant difference between the two groups in the dimension scores and total scores of the Montreal Cognitive Assessment Scale(MoCA)(P>0.05);after treatment,the MoCA scores in all dimensions and total scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no statistically significant difference between the two groups in the Barthel Index(BI)scores and Fugl Meyer scale(FMA)scores(P>0.05);after treatment,the BI score and FMA score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of cognitive rehabilitation training and transcranial direct current stimulation has a significant rehabilitation effect on patients with cognitive impairment after stroke,and is very effective in enhancing their cognitive function,quality of life,and motor ability.
作者
李春艳
LI Chunyan(Department of Neurology Episodic Disease Ward,Lanling County People's Hospital,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2023年第19期58-61,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中后认知功能障碍
经颅直流电刺激
认知康复训练
认知功能
生活质量
Cognitive impairment after stroke
Transcranial direct current stimulation
Cognitive rehabilitation training
Cognitive function
Quality of Life
