认知-运动训练双重任务结合音频同步训练对脑血栓患者肢体功能及生活质量的影响分析(1)
【摘要】 目的：分析認知-运动训练双重任务结合音频同步训练对脑血栓患者肢体功能及生活质量的影响。方法：选取2017年7月-2018年8月于本院就诊的214例脑血栓患者，按随机数字表法分为研究组和对照组，各107例。对照组给予吸氧、抗血小板聚集液等常规治疗。研究组在对照组基础上给予认知-运动训练结合音频同步训练。比较两组临床疗效、日常生活能力及神经功能缺损程度。应用简式Fugl-Meyer运动功能评分评价两组运动功能，比较两组血液流变学指标，用健康状况调查量表(SF-36)对两组治疗前后的生活质量进行评估并比较两组不良反应发生情况。结果：研究组的治疗总有效率明显高于对照组(P<0.05)。治疗后两组美国国立卫生研究院卒中量表评分(NIHSS)以及改良爱丁堡+斯堪的那维亚卒中量表(MESSS)评分均低于治疗前，且研究组NIHSS与MESSS评分低于对照组(P<0.05)，治疗后两组Barthel指数均高于治疗前，且研究组Barthel指数高于对照组(P<0.05)。治疗后两组上肢及下肢运动评分均高于治疗前，且研究组上肢及下肢运动评分优于对照组(P<0.05)。治疗后两组各血液流变学指标均优于治疗前，且研究组各血液流变学指标均明显优于对照组(P<0.05);治疗后两组各项SF-36生活质量评分均明显高于治疗前，且研究组各项SF-36生活质量评分均高于对照组(P<0.05)。两组均未产生严重的不良反应。结论：认知-运动训练双重任务结合音频同步训练对脑血栓患者肢体功能及生活质量改善良好，值得进一步研究。
【关键词】 认知-运动训练双重任务结合音频同步训练 脑血栓 MESSS评分 生活质量
Effect of Cognitive-sports Training Dual Tasks Combined with Audio Synchronous Training on Limb Function and Quality of Life of Cerebral Thrombosis Patients/ZHOU Xudong， CHEN Wenjun， LU Wei. //Medical Innovation of China， 2019， 16(28)： 0-027
[Abstract] Objective： To analyze the effects of cognitive-sports training combined with audio synchronous training on limb function and quality of life in patients with cerebral thrombosis. Method： A total of 214 patients with cerebral thrombosis admitted to our hospital from July 2017 to August 2018 were selected and divided into research group and control group according to the random number table method， 107 cases in each group. The control group was given conventional treatment such as oxygen inhalation and antiplatelet aggregation liquid. The research group was given cognitive-sports training dual tasks combined with audio synchronous training on the basis of the control group. The clinical efficacy， daily living ability and degree of nervous functional defects were compared between the two groups. The exercise function of the two groups were evaluated by the simplified Fugl-Meyer motor function score， and the hemorheology indexes of the two groups were compared. The quality of life of the two groups before and after treatment were evaluated by the health status survey scale (SF-36)， and the adverse reactions of the two groups were compared. Result： The total effective rate of the research group was significantly higher than that of the control group (P<0.05). After treatment， the national institute of health stroke scale (NIHSS) score and modified Edinburgh + Scandinavian stroke scale (MESSS) score of the two groups were lower than those of before treatment， and the NIHSS and MESSS scores of the research group were lower than those of the control group (P<0.05). After treatment， the Barthel index of two groups were higher than those of before treatment， the Barthel index of the research group was higher than that of the control group (P<0.05). After treatment， the upper and lower limb motor scores of the two groups were higher than those of before treatment， and the upper and lower limb motor scores of the research group were higher than those of the control group (P<0.05). After treatment， all hemorheological indexes of the two groups were better than those of before treatment， and all hemorheological indexes of the research group were significantly better than those of the control group (P<0.05). After treatment， all SF-36 life quality scores of the two groups were significantly higher than those of before treatment， and all SF-36 life quality scores of the research group were higher than those of the control group (P<0.05). No serious adverse reactions occurred in either group. Conclusion： Cognitive-sports training combined with audio synchronous training can improve limb function and quality of life of cerebral thrombosis patients， which is worthy of further study., http://www.100md.com(周旭东 陈文骏 陆威)
【关键词】 认知-运动训练双重任务结合音频同步训练 脑血栓 MESSS评分 生活质量
Effect of Cognitive-sports Training Dual Tasks Combined with Audio Synchronous Training on Limb Function and Quality of Life of Cerebral Thrombosis Patients/ZHOU Xudong， CHEN Wenjun， LU Wei. //Medical Innovation of China， 2019， 16(28)： 0-027
[Abstract] Objective： To analyze the effects of cognitive-sports training combined with audio synchronous training on limb function and quality of life in patients with cerebral thrombosis. Method： A total of 214 patients with cerebral thrombosis admitted to our hospital from July 2017 to August 2018 were selected and divided into research group and control group according to the random number table method， 107 cases in each group. The control group was given conventional treatment such as oxygen inhalation and antiplatelet aggregation liquid. The research group was given cognitive-sports training dual tasks combined with audio synchronous training on the basis of the control group. The clinical efficacy， daily living ability and degree of nervous functional defects were compared between the two groups. The exercise function of the two groups were evaluated by the simplified Fugl-Meyer motor function score， and the hemorheology indexes of the two groups were compared. The quality of life of the two groups before and after treatment were evaluated by the health status survey scale (SF-36)， and the adverse reactions of the two groups were compared. Result： The total effective rate of the research group was significantly higher than that of the control group (P<0.05). After treatment， the national institute of health stroke scale (NIHSS) score and modified Edinburgh + Scandinavian stroke scale (MESSS) score of the two groups were lower than those of before treatment， and the NIHSS and MESSS scores of the research group were lower than those of the control group (P<0.05). After treatment， the Barthel index of two groups were higher than those of before treatment， the Barthel index of the research group was higher than that of the control group (P<0.05). After treatment， the upper and lower limb motor scores of the two groups were higher than those of before treatment， and the upper and lower limb motor scores of the research group were higher than those of the control group (P<0.05). After treatment， all hemorheological indexes of the two groups were better than those of before treatment， and all hemorheological indexes of the research group were significantly better than those of the control group (P<0.05). After treatment， all SF-36 life quality scores of the two groups were significantly higher than those of before treatment， and all SF-36 life quality scores of the research group were higher than those of the control group (P<0.05). No serious adverse reactions occurred in either group. Conclusion： Cognitive-sports training combined with audio synchronous training can improve limb function and quality of life of cerebral thrombosis patients， which is worthy of further study., http://www.100md.com(周旭东 陈文骏 陆威)