眼针联合电脑辅助认知训练对脑卒中认知障碍的临床研究

江兴妹　钟志锋　邓钊立

【摘要】 目的：分析眼针联合电脑辅助认知训练方法对于脑卒中患者认知障碍的治疗效果。方法：选取2014年11月-2016年11月本院收治的脑卒中后认知障碍并接受康复治疗的患者80例，将其分为观察组和对照组，每组各40例。两组患者均进行电脑辅助认知训练治疗，观察组在此基础上增加眼针辅助治疗，两组均治疗8周。分别于治疗前后对两组患者进行洛文斯顿认知测试（LOTCA评分）、FUGL-MEYER运动功能测定（FMA评分）、Barthel指数量表（MBI）评估，比较两组患者的临床疗效。结果：治疗后，两组患者的LOTCA、FMA及MBI评分均高于治疗前（P<0.05），且观察组患者的LOTCA、FMA及MBI评分均高于对照组（P<0.05）；观察组患者治疗总有效率为95.00%，高于对照组的75.00%（P<0.05）。结论：眼针联合电脑辅助认知训练方法对于脑卒中患者认知障碍的治疗效果显著，对认知功能改善全面，治疗效果明显优于单纯电脑辅助认知训练治疗的患者。

【关键词】 眼针； 电脑辅助认知训练； 脑卒中； 认知障碍

Clinical Study of Eye-acupuncture Combined with Computer Assisted Cognitive Training on Cognitive Impairment in Patients with Cerebral Apoplexy/JIANG Xingmei，ZHONG Zhifeng，DENG Zhaoli.//Medical Innovation of China，2018，15（01）：063-066

【Abstract】 Objective：To analyze the effect of eye-acupuncture combined with computer assisted cognitive training on cognitive impairment in patients with cerebral apoplexy.Method：A total of 80 patients with cognitive impairment after cerebral apoplexy were treated with rehabilitation therapy in our hospital from November 2014 to November 2016 were selected，according to the random number table method，they were divided into observation group and control group，40 cases in each group.They were treated with computer assisted cognitive training，and observation group increased eye-acupuncture treatment on the basis of this，they were treated for 8 weeks.The Lo Winston cognitive test （LOTCA score），FUGL-MEYER exercise function test（FMA score） and Barthel index scale（MBI） before and after treatment between two groups were evaluated，and the clinical effects of two groups were compared.Result：After treatment，the scores of LOTCA，FMA and MBI in two groups were all higher than those of before treatment（P<0.05），and the scores of LOTCA，FMA and MBI in observation group were all higher than those of control group（P<0.05）.The total effective rate of observation group was 95.00%，which was higher than 75.00% of control group（P<0.05）.Conclusion：Eye acupuncture combined with computer assisted cognitive training has a significant effect on cognitive impairment in patients with cerebral apoplexy，and improves cognitive function，the treatment effect is better than that of patients with computer assisted cognitive training.

【Key words】 Eye-acupuncture； Computer assisted cognitive training； Cerebral apoplexy； Cognitive impairment

First-authors address：First Peoples Hospital of Huizhou，Huizhou 516001，China

doi：10.3969/j.issn.1674-4985.2018.01.017

隨着当前科技水平的提升和医疗技术的不断发展，在认知障碍康复研究方面的研究也越来越深入。尤其近年以来，对于认知障碍康复练习成为康复医学界的研究热点问题[1]。脑卒中是临床中的一类危重疾病，也是造成患者死亡的重要原因之一。经研究发现，存活患者中50%～80%的患者会出现不同程度认知功能障碍[2]。即使患者经临床药物治疗后神经功能有较好恢复，但认知障碍仍会造成持久性损伤，影响患者的预后生活质量。当前，认知障碍康复训练方法有药物治疗、心理治疗、计算机辅助治疗、作业疗法等[3]。国内临床治疗中关于认知障碍的康复训练主要以作业疗法为主，同时配合适当药物治疗或理疗的综合治疗方案，取得了一定疗效[4]。但是该方案存在的问题就是作业训练的方法较单一，缺乏系统性和标准化训练。因此，进一步研究出更多样化、系统化、标准化的认知障碍康复训练方案，对于提高患者康复效果有较大帮助。本研究通过对脑卒中患者进行眼针联合电脑辅助认知训练的方法与单纯电脑辅助认知训练相比较，探讨不同治疗方案对脑卒中患者认知障碍的预后影响。现报道如下。endprint