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听觉训练对脑卒中患者认知功能的影响 被引量:20

Effects of auditory training on cognitive function in patients with stroke
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摘要 目的探讨TOMATIS音频训练对脑卒中患者认知功能障碍的康复效果。方法选取80例脑卒中后认知功能障碍患者,采用分层随机法分为试验组(40例)和对照组(40例)。两组均在常规训练的基础上进行试验干预,其中对照组给予TOMATIS常规音乐训练(无音频处理的常规频率音乐),试验组给予TOMATIS音频训练(经音频处理的音乐)。干预前后应用MoCA认知评估量表进行评价。结果两周期TOMATIS音频训练后试验组MoCA总分[(17.43±4.11)分]高于干预前[(13.48±3.28)分],差异有统计学意义(P〈0.01);对照组干预后在记忆功能、执行功能、视结构技能、抽象思维及总标准分5项得分均较干预前有提高,差异有统计学意义(P〈0.05);试验组各单项评分及总标准分均较对照组评分显著提高(P〈0.05)。结论TOMATIS音频训练能有效改善脑卒中患者的认知功能。 Objective To explore the effect of TOMATIS audio training on the rehabilitation of patients with cognitive impairment after stroke. Methods A total of 80 patients with cognitive impairment after stroke were randomly divided into experimental group (40 cases) and control group (40 cases). The two groups received conventional rehabilitative nursing. The control group was given TOMATIS conventional mu- sic training ( conventional frequency music without audio processing), while the experimental group was giv- en the TOMATIS audio training ( music with audio processing).The patients were evaluated with Montreal cognitive assessment scale(MoCA) before and after intervention. Results After two-cycle TOMATIS audio training, the total score of M oCA ( 17.43 ±4.11 ) in experimental group were higher than that before interven- tion(13.48±3.28), and the differences were statistically significant (P〈0.01), while the memory, executive function,visual skills, abstract thinking.and total standard score significantly increased in control group (P〈 0.05) .Scores of each item and total standard score of the experimental group were higher than those of the control group after the intervention(P〈0.05). Conclusion TOMATIS audio training can improve cognitive function of patients with stroke.
出处 《中华行为医学与脑科学杂志》 CAS CSCD 北大核心 2016年第10期905-908,共4页 Chinese Journal of Behavioral Medicine and Brain Science
基金 河北省科技厅科技支撑项目(13277748D)
关键词 脑卒中 认知障碍 TOMATIS音频训练 Stroke Cognitive impairment TOMATIS audio training
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