摘要
目的:拟观察动态脑电检测α波音乐干预脑卒中后认知功能损害患者的脑电α功率值及认知功能,为探究认知功能障碍患者的康复干预提供参考。方法:选择存在有认知功能损害的脑卒中患者60例,依据入院先后顺序分为观察组40例,对照组20例,观察组患者依据动态脑电图仪测试结果,分为对α波音乐敏感组(22例)和对α波音乐不敏感组(18例)。60例患者均给予常规康复治疗和促智药物。观察组患者附加α波音乐干预。在干预前、后对所有患者播放前2min及播放后2min两个时间段进行脑电α波数据采集。结果:13组患者干预前后的脑电α波功率值比较,敏感组干预后测得播放前2min和播放后2min两个时间段的脑电α波功率值高于干预前对应两个时间段测得值(P<0.01);不敏感组和对照组干预后测得播放后2min时间段脑电α波功率值高于干预前测得值(P<0.01,0.05)。干预后敏感组所测的播放前和播放后2min时间段脑电α波功率值均高于不敏感组和对照组(P<0.05)。23组患者干预前后的认知功能评分:敏感组干预后蒙特利尔认知量表(Montreal Cognitive Scale,MoCA)总评分、记忆能力、视空间执行能力、注意及计算能力评分均高于干预前及不敏感组和对照组(P<0.05,0.01)。不敏感组干预后仅注意力评分高于干预前(P<0.01)。不敏感组注意及计算能力评分高于对照组(P<0.05)。结论:α波音乐可提高脑卒中后认知功能损害患者脑电α波的功率值及认知功能,尤其是视空间执行力、记忆力、注意及计算力。
Objective： To explore the effects of Alpha music on the power of alpha wave and cognition in patients with cognitive deficit following stroke in order to predict the existence of cognitive impairment in patients with stroke and help for future rehabilitation intervention. Method.. Sixty patients with cognitive impairment following stroke were di- vided into experimental group （n= 40） and control group （n= 20）. The experiment group was further sub-divided into sensitive （n= 22） and non-sensitive （n= 18） subgroups according to their responses to Alpha wave. All patients re- ceived routine rehabilitation therapy and nootropic drugs. The patients in experimental group received alpha music treatment additionally. The data of alpha wave 2 rain before and 2 rain after the play were collected in all patients. Re- suits： （1） In the senskive subgroup, the values of alpha wave 2 min before and 2 min aker play were increased remark- ably corresponding to two periods before intervention after 4-week treatment （P〈0.01）. After 4-week intervention, the values of alpha wave increased statistically 2 min after play in non-sensitive subgroup and control group （P〈0.01 and 0.05）. The values of alpha wave before and 2 min after play in sensitive group were higher than in non-sensitive group and control group （P〈0.05）. （2） In sensitive group, the MoCA total score, memory, visuospatial ability, at- tention and calculation ability score were higher than those before the intervention, as well as non-sensitive group and control group after the intervention （P^0.05 or 0.01）. In non-sensitive group, the attention and calculation ability score increased sharply as compared with control group after 4-week treatment （P〈0.05）. In non-sensitive group, at- tention score increased significantly after 4-week intervention （P〈0.01）. Conclusion.. Alpha music is an effective tre-atment for patients with cognitive deficit after stroke. It can improve patients value of alpha and cognition, espe
出处
《中国康复》
2015年第5期342-345,共4页
Chinese Journal of Rehabilitation
基金
河北省医学科学研究重点课题(ZL20140240)
