江興妹　鐘志鋒　鄧釗立

【摘要】 目的：分析眼針聯(lián)合電腦輔助認(rèn)知訓(xùn)練方法對于腦卒中患者認(rèn)知障礙的治療效果。方法：選取2014年11月-2016年11月本院收治的腦卒中后認(rèn)知障礙并接受康復(fù)治療的患者80例，將其分為觀察組和對照組，每組各40例。兩組患者均進(jìn)行電腦輔助認(rèn)知訓(xùn)練治療，觀察組在此基礎(chǔ)上增加眼針輔助治療，兩組均治療8周。分別于治療前后對兩組患者進(jìn)行洛文斯頓認(rèn)知測試（LOTCA評分）、FUGL-MEYER運(yùn)動功能測定（FMA評分）、Barthel指數(shù)量表（MBI）評估，比較兩組患者的臨床療效。結(jié)果：治療后，兩組患者的LOTCA、FMA及MBI評分均高于治療前（P<0.05），且觀察組患者的LOTCA、FMA及MBI評分均高于對照組（P<0.05）；觀察組患者治療總有效率為95.00%，高于對照組的75.00%（P<0.05）。結(jié)論：眼針聯(lián)合電腦輔助認(rèn)知訓(xùn)練方法對于腦卒中患者認(rèn)知障礙的治療效果顯著，對認(rèn)知功能改善全面，治療效果明顯優(yōu)于單純電腦輔助認(rèn)知訓(xùn)練治療的患者。

【關(guān)鍵詞】 眼針； 電腦輔助認(rèn)知訓(xùn)練； 腦卒中； 認(rèn)知障礙

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），F(xiàn)UGL-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，F(xiàn)MA and MBI in two groups were all higher than those of before treatment（P<0.05），and the scores of LOTCA，F(xiàn)MA 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

隨著當(dāng)前科技水平的提升和醫(yī)療技術(shù)的不斷發(fā)展，在認(rèn)知障礙康復(fù)研究方面的研究也越來越深入。尤其近年以來，對于認(rèn)知障礙康復(fù)練習(xí)成為康復(fù)醫(yī)學(xué)界的研究熱點(diǎn)問題[1]。腦卒中是臨床中的一類危重疾病，也是造成患者死亡的重要原因之一。經(jīng)研究發(fā)現(xiàn)，存活患者中50%～80%的患者會出現(xiàn)不同程度認(rèn)知功能障礙[2]。即使患者經(jīng)臨床藥物治療后神經(jīng)功能有較好恢復(fù)，但認(rèn)知障礙仍會造成持久性損傷，影響患者的預(yù)后生活質(zhì)量。當(dāng)前，認(rèn)知障礙康復(fù)訓(xùn)練方法有藥物治療、心理治療、計算機(jī)輔助治療、作業(yè)療法等[3]。國內(nèi)臨床治療中關(guān)于認(rèn)知障礙的康復(fù)訓(xùn)練主要以作業(yè)療法為主，同時配合適當(dāng)藥物治療或理療的綜合治療方案，取得了一定療效[4]。但是該方案存在的問題就是作業(yè)訓(xùn)練的方法較單一，缺乏系統(tǒng)性和標(biāo)準(zhǔn)化訓(xùn)練。因此，進(jìn)一步研究出更多樣化、系統(tǒng)化、標(biāo)準(zhǔn)化的認(rèn)知障礙康復(fù)訓(xùn)練方案，對于提高患者康復(fù)效果有較大幫助。本研究通過對腦卒中患者進(jìn)行眼針聯(lián)合電腦輔助認(rèn)知訓(xùn)練的方法與單純電腦輔助認(rèn)知訓(xùn)練相比較，探討不同治療方案對腦卒中患者認(rèn)知障礙的預(yù)后影響?，F(xiàn)報道如下。endprint