摘要
目的观察六字诀联合常规康复训练对轻度卒中后认知障碍(PSCI)患者执行功能的影响。方法选取2021年11月—2022年10月于福建中医药大学康复医院就诊的轻度PSCI患者70例,采用SPSS 26.0软件生成随机编号和密封信封法分为对照组和六字诀组各35例。研究过程中对照组脱落2例,六字诀组脱落2例,最终2组完成试验者各33例。对照组给予常规内科治疗和康复训练,六字诀组在对照组治疗基础上习练六字诀,每日1次,每次3遍,共训练12周。评估2组干预前后执行功能中的工作记忆[词语流畅性测验(VFT)评分]、抑制控制[Stroop色词测试(SCWT)中卡片A、卡片B和卡片C的正确数和耗时、Stroop干扰效应(SIE)耗时、SIE正确数]和认知灵活性[连线测验(TMT)-A、TMT-B耗时和错误数],比较2组干预前后改良Barthel指数(MBI)。结果与干预前比较,2组干预后VFT评分和MBI评分均明显提高,SCWT评分中卡片A、卡片B和卡片C耗时明显缩短(P<0.05),卡片C和SIE正确数明显增加(P<0.05),TMT评分中TMT-A和TMT-B耗时明显缩短(P<0.05);六字诀组干预后卡片B正确数明显增加(P<0.05),SIE耗时明显缩短(P<0.05)。与对照组比较,六字诀组干预后VFT评分和MBI评分明显提高(P<0.05),SCWT评分中卡片A、卡片B、卡片C和SIE耗时明显缩短(P<0.05),卡片B、卡片C和SIE正确数明显增加(P<0.05),TMT评分中TMT-A和TMT-B耗时明显缩短(P<0.05)。结论六字诀联合常规康复训练可改善轻度PSCI患者的执行功能和日常生活活动能力。
Objective:To observe effect of Liuzijue combined with routine rehabilitation training on executive function in patients with mild post-stroke cognitive impairment(PSCI).Methods:A total of seventy mild PSCI patients who visited the Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine from November 2021 to October 2022 were selected and randomly assigned to control group and Liuzijue group,with 35 patients in each group,using SPSS 26.0 software to generate random numbers and sealed envelopes.During the study,2 cases fell out of the control group and 2 cases fell out of the Liuzijue group.In the end,33 cases each completed the experiment in both groups.The control group received routine medicine therapy and rehabilitation training,while the Liuzijue group received Liuzijue training on the basis of the control group's treatment,with 3 times per session,1 session per day for 12 weeks.The working memory[verbal fluency test(VFT)score],inhibitory control[correct number and time of cards A,B,and C,Stroop interference effect(SIE)time,SIE correct number],and cognitive flexibility[trail making test(TMT)-A,TMT-B time and error number]were evaluated,and the modified Barthel index(MBI)was measured.Results:Compared with those before intervention,the VFT and MBI scores of the two groups significantly increased(P<0.05),and the SCWT of card A,B C,and SIE timeconsuming significantly decreased(P<0.05).SCWT of card C and SIE correct number significantly increased(P<0.05),and TMT-A and TMT-B time-consuming significantly decreased(P<0.05).The SCWT of card B correct number of the Liuzijue group significantly increased and SIE time-consuming of the Liuzijue group significantly decreased(P<0.05).Compared with the control group,the VFT and MBI scores of the Liuzijue group significantly increased after intervention(P<0.05),and the SCWT of card A,B C,and SIE timeconsuming significantly decreased(P<0.05),while SCWT of card B,C and SIE correct number significantly increased(P<0.05).TMT-A and TMT-B time-consuming significantly decreased(P<0.05).Conclusion:Liuzijue combined with routine rehabilitation training can effectively improve executive function and ADL in PSCI.
作者
陈金辉
陈心铭
刘芳
CHEN Jinhui;CHEN Xinming;LIU Fang(Sports Department,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China;School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China)
出处
《福建中医药》
2024年第8期7-11,共5页
Fujian Journal of Traditional Chinese Medicine
基金
福建省自然科学基金项目(2021J01946)。
关键词
脑卒中
认知障碍
六字诀
执行功能
日常生活活动能力
stroke
cognitive impairment
Liuzijue
executive function
activities of daily living
