本文關(guān)鍵詞：言語聽覺反饋訓(xùn)練治療腦卒中后認(rèn)知功能障礙效果觀察　出處：《山東醫(yī)藥》2017年26期 　論文類型：期刊論文

  更多相關(guān)文章： 腦卒中 認(rèn)知功能障礙 言語聽覺反饋訓(xùn)練 康復(fù)治療

【摘要】：目的觀察言語聽覺反饋訓(xùn)練治療腦卒中后認(rèn)知功能障礙的效果。方法將80例腦卒中后認(rèn)知功能障礙患者隨機(jī)分為對(duì)照組和觀察組各40例,對(duì)照組采取常規(guī)康復(fù)治療,觀察組在對(duì)照組的基礎(chǔ)上加用Forbrain言語聽覺反饋訓(xùn)練,20 min/次,5次/周,共10周。治療前及治療10周后,采用蒙特利爾認(rèn)知評(píng)估量表(MoCA)和洛文斯頓作業(yè)療法認(rèn)知評(píng)定量表(LOTCA-Ⅱ)評(píng)定患者的認(rèn)知功能。結(jié)果兩組干預(yù)前MoCA、LOTCA-Ⅱ各單項(xiàng)評(píng)分及總分均無統(tǒng)計(jì)學(xué)差異(P均0.05)。干預(yù)后觀察組MoCA總標(biāo)準(zhǔn)分、注意與集中、視結(jié)構(gòu)技能、語言、抽象思維、記憶、定向力評(píng)分均較對(duì)照組提高,觀察組LOTCA-Ⅱ總分、視知覺、視運(yùn)動(dòng)組織、思維操作、注意力及專注力評(píng)分較對(duì)照組提高(P均0.05)。結(jié)論言語聽覺反饋訓(xùn)練可改善腦卒中后認(rèn)知功能障礙患者的認(rèn)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.

【作者單位】： 華北理工大學(xué);
【基金】：河北省科技廳科技支撐項(xiàng)目(13277748D)
【分類號(hào)】：R493;R743.3
【正文快照】： 腦卒中可引起不同程度的神經(jīng)損傷,具有高致死率和高殘疾率的特點(diǎn),是導(dǎo)致患者殘疾和認(rèn)知損傷的重要原因[1,2]。有報(bào)道指出,75%的腦卒中患者存在不同程度的認(rèn)知功能障礙[3],不僅影響患者的生活質(zhì)量、自主活動(dòng)和工作能力,同時(shí)增加了患者的再入院率和病死率[4]。因此,積極改善卒中

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