背景音乐下头皮针结合计算机辅助认知训练对脑卒中认知障碍的影响

目的:观察背景音乐下头皮针结合计算机辅助认知训练对脑卒中认知障碍的临床疗效。方法:脑卒中后认知障碍患者60例随机分成观察1组、观察2组和对照组各20例,3组患者均进行计算机辅助认知训练,观察2组增加头皮针治疗,观察1组增加背景音乐下头皮针治疗。治疗前后采用洛文斯顿认知成套测试(LOTCA)、简化Fugl-Meyer运动功能评定(FMA)、改良Barthel指数量表(MBI)进行评估。结果:治疗后3组患者的LOTCA、FMA和MBI评分较治疗前有显著提高(P0.01,0.05)。且观察1组LOTCA总分、子项目中除注意力外各项以及FMA和MBI评分较对照组改善更显著(P0.01,0.05);观察2组的LOTCA总分、视知觉、思维操作、视运动组织以及FMA评分较对照组改善更显著(P0.01,0.05)。观察1组的思维操作及LOTCA总分较观察2组改善更显著(P0.01,0.05)。结论:背景音乐下头皮针结合计算机辅助认知训练的脑卒中患者认知功能全面改善,优于单纯进行计算机辅助认知训练和结合头皮针治疗的患者。

Effects of scalp acupuncture under background music combined with computer-aided cognitive training on cognitive disorders

Objective:To observe the clinical effects of scalp acupuncture under background music combined with computer-aided cognitive training on cognitive disorders training. Methods:Sixty patients with cognitive disorders after stroke were randomly divided into the scalp acupuncture under background music group (observation group 1), the scalp acupuncture group (observation group 2) and computer-aided cognitive training group (control group). All the patients in the three groups received the computer-aided cognitive training, observation group 2 was given the scalp acupuncture additionally, and observation group 1 was given scalp acupuncture combined with background music additionally. Clinical effects were evaluated with Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), Simplified Fugl-Meyer motor function assessment (FMA), and modified Barthel index (MBI) before and after treatment. Results: LOTCA, FMA and MBI were significantly improved in all the three groups after treatment (P<0.01, and P<0.05). Total scores, and sub-items except attention of LOTCA, FMA and MBI were improved obviously in observation group 1 (P<0.01, and P<0.05). LOTCA total scores, visual perception, thinking operation, apparent motion organization and FMA were improved markedly in observation group 2 (P<0.01, and P<0.05). Thinking operation and LOTCA total scores in observation group 1 were improved more significantly than those in group 2 (P<0.01, and P<0.05). Conclusion: The effect of the combination of scalp acupuncture under background music and computer-aided cognitive training can comprehensively improve the cognitive function in stroke patients, and it is better than that of the combination of scalp acupuncture and computer-aided cognitive training.