言语听觉反馈训练治疗脑卒中后认知功能障碍效果观察

发布时间：2018-01-13 06:26

本文关键词：言语听觉反馈训练治疗脑卒中后认知功能障碍效果观察　出处：《山东医药》2017年26期 　论文类型：期刊论文

【摘要】：目的观察言语听觉反馈训练治疗脑卒中后认知功能障碍的效果。方法将80例脑卒中后认知功能障碍患者随机分为对照组和观察组各40例,对照组采取常规康复治疗,观察组在对照组的基础上加用Forbrain言语听觉反馈训练,20 min/次,5次/周,共10周。治疗前及治疗10周后,采用蒙特利尔认知评估量表(MoCA)和洛文斯顿作业疗法认知评定量表(LOTCA-Ⅱ)评定患者的认知功能。结果两组干预前MoCA、LOTCA-Ⅱ各单项评分及总分均无统计学差异(P均0.05)。干预后观察组MoCA总标准分、注意与集中、视结构技能、语言、抽象思维、记忆、定向力评分均较对照组提高,观察组LOTCA-Ⅱ总分、视知觉、视运动组织、思维操作、注意力及专注力评分较对照组提高(P均0.05)。结论言语听觉反馈训练可改善脑卒中后认知功能障碍患者的认知功能。
[Abstract]:Objective To observe the effect of auditory feedback training in the treatment of cognitive dysfunction after stroke. Methods 80 cases of post-stroke patients with cognitive impairment were randomly divided into control group and observation group with 40 cases in each group, the control group received routine rehabilitation treatment, the observation group in the control group and training with Forbrain auditory feedback, 20 min/ times. 5 times a week, for 10 weeks. Before and after 10 weeks of treatment, the Montreal cognitive assessment scale (MoCA) and LOTCA (LOTCA- II) cognitive function were assessed. Results of the two groups before MoCA, there was no significant difference of LOTCA- score and total score of each individual (P 0.05). The observation group after the intervention of MoCA standard, attention and concentration, as the structure of skills, language, abstract thinking, memory, orientation scores were higher than the control group, the observation group LOTCA- II score, visual perception, visual movement, thinking, The score of attention and concentration was higher than that in the control group (P 0.05). Conclusion speech auditory feedback training could improve cognitive function in patients with cognitive impairment after stroke.

【作者单位】：华北理工大学;
【基金】：河北省科技厅科技支撑项目(13277748D)
【分类号】：R493;R743.3
【正文快照】： 脑卒中可引起不同程度的神经损伤,具有高致死率和高残疾率的特点,是导致患者残疾和认知损伤的重要原因[1,2]。有报道指出,75%的脑卒中患者存在不同程度的认知功能障碍[3],不仅影响患者的生活质量、自主活动和工作能力,同时增加了患者的再入院率和病死率[4]。因此,积极改善卒中

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