计算机辅助认知训练对脑卒中患者注意障碍的效果

目的分析计算机辅助认知训练系统对脑卒中患者注意障碍的康复效果。方法选择2017年1月至2018年6月合肥市滨湖医院康复医学科收治的脑卒中患者48例,依据随机数字表法分为观察组和对照组,每组各24例。对照组给予常规康复治疗,观察组在对照组的基础上给予计算机辅助认知训练,疗程均为6周。采用HKU-AHMU神经心理学注意功能量表系列(包括数字广度测验、气球叉掉测验及数字颜色连线测验)、蒙特利尔认知评估北京版(MoCA)以及改良的巴氏指数评分(MBI)等量表评估并比较两组患者治疗前后注意功能、综合认知功能及生活自理能力。结果治疗6周后,两组患者数字广度、MoCA量表、MBI量表评分均较治疗前提高,差异有统计学意义(P <0. 05);两组患者治疗后气球叉掉测验及数字颜色连线测验所需时间均较治疗前降低,差异有统计学意义(P <0. 05)。其中,观察组数字广度、MoCA量表、MBI量表评分差值较对照组高,差异有统计学意义(P <0. 05);观察组气球叉掉测验及数字颜色连线测验所需时间差值均较对照组高,差异有统计学意义(P <0. 05)。结论计算机辅助认知功能训练能有效提高脑卒中注意障碍患者的注意功能、综合认知功能及生活自理能力。

Rehabilitation effect of computer-assisted cognitive training on attention disorder in stroke patients

Objective To analyze the rehabilitation effect of Computer-assisted cognitive training system on attention disorder in stroke patients. Methods A total of 48 stroke patients admitted to the Department of Rehabilitation Medicine, Binhu Hospital of Hefei City from January 2017 to June 2018 were enrolled. The patients were divided into observation group and control group according to the random number table method, 24 cases in each group. The control group received routine rehabilitation treatment, and the observation group received Computer-assisted cognitive training on the basis of the control group. The course of treatment was 6 weeks. Use the HKU-AHMU Neuropsychological Attention Function Scale series (including digital breadth test, balloon cross test and digital color line test), Montreal Cognitive Assessment Beijing Edition (MoCA), and improved Barth Index score (MBI) The scale was used to evaluate and compare the attention function, comprehensive cognitive function and self-care ability of the two groups before and after treatment. Results After 6 weeks of treatment, the digital breadth, MoCA scale and MBI scale scores of the two groups were significantly higher than those before treatment (P<0.05). The two groups of patients after the treatment were ballooning off the test and digital color The time required for the line test was lower than that before treatment, and the difference was statistically significant (P<0.05). Among them, the differences in the digital breadth, MoCA scale and MBI scale of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05). The time difference between the observation group and the balloon color drop test and the digital color connection test wasobserved. The values were higher than the control group, and the difference was statistically significant (P<0.05).Conclusion Computer-assisted cognitive function training can effectively improve the attention function, comprehensive cognitive function and self-care ability of patients with stroke attention disorder.