TEAS联合认知行为训练对髋部骨折POCD的疗效评价

目的探讨经皮穴位电刺激(TEAS)联合认知行为训练对髋部骨折患者术后认知功能障碍(POCD)的疗效评价。方法选取髋部骨折术后并发POCD患者67例,随机分为试验组和对照组,对照组予认知行为训练,试验组在对照组基础上增加TEAS,观察比较两组患者术前3 d、术后1周、2周、1个月、3个月简易智力状态检查量表(MMSE)评分及生活自理能力(Barthel指数)水平。结果术前3 d,两组患者的Barthel指数、MMSE评分比较,差异均无统计学意义(t分别=-0.03、-0.07,P均>0.05);术后1周、术后2周、术后1个月、术后3个月,试验组患者的Barthel指数、MMSE评分均明显高于对照组,差异均有统计学意义(t分别=2.26、8.20、7.16、2.08;2.83、4.43、4.15、2.05,P均<0.05)。结论TEAS联合认知行为训练治疗髋部骨折POCD患者效果明显优于认知行为训练。

Effect of TEAS combined with cognitive behavior training on POCD of hip fracture

Objective To evaluate the efficacy of transcutanclus electrical acupoint stimulation(TEAS)combined with cognitive behavior training in improving postoperative cognitive dysfunction(POCD)in patients with hip fracture.Methods A total of 67 patients with hip fracture and POCD were enrolled and randomly divided into the experimental group and the control group.Patients in conrtol group recieved cognitive behavior training,while patients in the experimental group received TEAS combined with cognitive behavior training.The MMSE scores and self-care ability(Barthel index)levels of 3 days preoperation and 1 week,2 weeks,1 month,2 months postoperation were observed and compared in two groups.Results There was no significant difference in the Barthel index and MMSE score at 3 days preoperation(t=-0.03,-0.07,P>0.05).In experimental group,the Barthel index and MMSE score at 1 week,2 weeks,1 month,2 months postoperation were significantly higher than those in control group(t=2.26,8.20,7.16,2.08,2.83,4.43,4.15,2.05,P<0.05).Conclusion TEAS combined with cognitive behavior training is significantly better than cognitive behavior training in the treatment of hip fracture patients with POCD.