首页|期刊导航|中国伤残医学|五音疗法联合常规训练在缺血性卒中后认知障碍治疗中的应用效果

五音疗法联合常规训练在缺血性卒中后认知障碍治疗中的应用效果OA

Application Effect of Five-Tone Therapy Combined with Conventional Training in the Treatment of Cognitive Impairment after Ischemic Stroke

中文摘要英文摘要

目的:探究五音疗法联合常规训练在缺血性卒中后认知障碍治疗中的应用效果.方法:选取 2020年 1月—2022年 6月泰安市中医医院收治的缺血性脑卒中患者60例为研究对象,随机分为对照组及研究组,每组30例.对照组进行常规认知康复训练,研究组在此基础上采用五音疗法治疗.比较两组患者的中医证候积分、事件相关电位P 300、日常生活能力、抑郁程度及认知功能.结果:治疗后,研究组的嗜睡、夜尿频多、神情呆滞、失认失算积分均低于对照组,差异均有统计学意义(P<0.05).治疗后,研究组的事件相关电位P 300潜伏期短于对照组,P 300波幅大于对照组,差异均有统计学意义(P<0.05).治疗后,研究组的汉密尔顿抑郁量表评分低于对照组,日常生活能力量表评分及蒙特利尔认知评估量表评分均高于对照组,差异均有统计学意义(P<0.05).结论:五音疗法联合常规训练不仅能改善缺血性卒中后认知障碍患者的认知功能,还能提高其日常生活自理能力,效果显著.

Objective:To explore the effect of five-tone therapy combined with conventional training in the treatment of cognitive impairment after ischemic stroke.Methods:A total of 60 patients with ischemic stroke admitted to Tai'an Traditional Chinese Medicine Hospital from January 2020 to June 2022 were selected as the study objects and were randomly divided into a control group and a study group,with 30 cases in each group.The control group received conventional cognitive rehabilitation training,and the study group received five-tone therapy on this basis.The TCM syndrome scores,event-related potential P300,daily living ability,depression degree and cognitive function were compared between the two groups.Results:After treatment,the scores of drowsiness,nocturnal urination,dull expression and agnosia in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the latency of event-related potentials P300 in the study group was shorter than that in the control group,and the amplitude of P300 was greater than that in the control group,and the differences were statistically significant(P<0.05).After treatment,the Hamilton depression scale score of the study group was lower than that of the control group,and the scores of the activities of daily living and the Montreal cognitive assessment were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Five-Tone therapy combined with conventional training can not only improve the cognitive function of patients with cognitive impairment after ischemic stroke,but also improve their self-care ability in daily life.

梁丽艳;栾春娜

山东省泰安市中医医院肿瘤科,山东 泰安 271000

临床医学

缺血性卒中认知障碍五音疗法常规训练临床疗效

Ischemic strokeCognitive impairmentFive-Tone therapyConventional trainingClinical efficacy

《中国伤残医学》 2024 (016)

35-38 / 4

10.13214/j.cnki.cjotadm.2024.016.010

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