电针联合计算机训练对脑损伤认知障碍康复疗效的研究

Rehabilitation effect research of electro-acupuncture combined with computer aided training on brain injury patients with cognitive deficits

将60例认知障碍患者以区组随机方法分为电针组、计算机组和联合组,各组20例.前两组单纯给予电针或计算机辅助训练、联合组电针联合计算机共同训练,时间2个月.训练前,3组患者洛文斯顿作业疗法认知评定成套测验（LOTCA）各项分值差异无统计学意义;训练1个月后联合组LOTCA评分较训练前显著提高（P＜0.05）,2个月结束后3组评分较训练前均有显著提高（P＜0.05）,在知觉、视运动、注意力、思维改善及总评分方面均优于电针组和计算机组（P＜0.05）.而在改善定向力方面,训练1个月后3组间无明显差异,训练2个月后联合组显著优于其他两组（P＜0.05）.

A total of 60 brain injury patients with cognitive impairment were randomly divided into electro-acupuncture,computer and combination groups （n =20 each）.The electro-acupuncture group received electroacupuncture,computer group cognitive rehabilitation training with specialized equipment and combination group both regimens.The treatment lasted for 2 months.Before training,Loewenstein occupational therapy cognitive assessment （LOTCA） test was not statistically significant among all groups （P 8 0.05）.After 1 month,the combination group scored higher than pre-training （P ＜ 0.05）.After 2 months,the scores of all groups were higher than pre-training（P ＜ 0.05）.After 1 and 2-month training,the combination group scored higher than the other two groups in aspects of consciousness,optomotor tissue,attention,thinking and aggregate score （P ＜ 0.05）.However,the orientation scores of all groups changed insignificantly after 1-month training （P 8 0.05）,the combination group scored higher than the other two groups in improved orientation after 2 months （P ＜ 0.05）.