肌电生物反馈疗法对脑梗死患者记忆功能影响的研究

Effect of electromyographic biofeedback therapy on memorial function in cerebral infarction patients

目的探讨肌电生物反馈疗法对脑梗死患者记忆功能改善的有效性。方法脑梗死患者120例,分为研究组60例和对照组60例,均给予常规药物治疗,研究组增加肌电生物反馈疗法。治疗前后均采用临床记忆量表、简易精神状态检查法检测。结果经1个月治疗后,研究组指向记忆、图形再认、人像回忆、MQ数字广度(顺背)、数字广度(倒背)均比治疗前升高(17.88±4.24)分vs(20.91±6.07)分(、14.87±6.22)分vs(17.16±4.24)分、(19.16±5.32)分vs(23.98±5.26)分、(89.68±13.43)分vs(101.48±11.22)分、(4.95±1.95)分vs(6.80±1.52)分(、3.20±1.95)分vs(4.85±1.28)分(均P<0.05),视觉最快反应时间、视觉最慢反应时间、听觉最慢反应时间、缺失记忆均比治疗前减少(359±65)ms vs(248±45)ms(、2 190±228)ms vs(1 040±227)ms(、3 152±698)ms vs(2 515±449)ms(、5.27±2.12)个vs(4.30±1.86)个(均P<0.05);两组治疗后比较,研究组指向记忆、图形再认、人像回忆、MQ值、数字广度值均比对照组升高(均P<0.05),视觉最快反应时间、视觉最慢反应时间、听觉最慢反应时间、缺失记忆均比对照组减少(均P<0.05)。结论肌电生物反馈疗法结合常规药物治疗可以改善脑梗死患者的记忆功能。

Objective To study the efficacy of electromyographic biofeedback therapy for rehabilitation of the memorial function of patients with cerebral infarction. Methods 120 patients with cerebral infarction were assigned to the study group （60 cases） and the control group （60 cases）. Both control group and study group received drug therapy,but the study group received eleetromyographic biofeedback therapy besides. Both groups were assessed with the clinic memory seale,mimi±mental state examination. Results After treatment for one month,point memory, graph recognition,portrait recall, MQ grade, number extent （direct recitation） , number extent （antidromic recitation） of the study group were higher than those before treatment, （17.88±4.24） scores vs （20. 914±6.07） scores, （14. 874±6.22） scores vs （17.16±_4.24） scores, （19. 164± 5.32） scores vs （23. 984± 5.26） scores, （89. 684± 13.43） scores vs （101. 484± 11.22） scores ,（4.954±1.95） scores vs （6.80±1.52） scores,（3.204±1.95） scores vs （4.854±1.28） scores（P 〈 0.05） ,the fastest vision reaction time, the slowest vision reaction time, the slowest hearing reaction time, absence memory of the study group were lower than those before treatment,（3594±65） ms vs （2484±45） ms, （2 1904±228） ms vs （1 040±227） ms,（3 1524±698） ms vs （2 515±_449） ms,（5.274±2.12） numbers vs （4. 304±1.86） numbers（all P 〈 0.05） ; After treatment, point memory, graph recognition, portrait recall, MQ grade, number extent of the study group were higher than those in the control group （all P 〈0.05）, the fastest vision reaction time, the slowest vision reaction time,the slowest hearing reaction time, absence memory of the study group were lower than those in the control group（all P 〈0.05）, Conclusion Electromyographic biofeedback therapy in combination with routine drug therapy could obviously improve the memorial function of patients with cerebral infarction.