有氧联合阻抗对颅脑损伤认知障碍患者执行功能及焦虑抑郁情绪的影响

Effects of aerobic combined impedance on executive function and anxiety and depression of brain injury patients with cognitive impairment

目的探讨有氧联合阻抗对颅脑损伤认知障碍患者执行功能及焦虑抑郁情绪的影响。方法 2014年8月—2016年2月选择在哈尔滨医科大学附属第一医院进行康复治疗的颅脑损伤认知障碍患者144例,采用区组随机化方法将研究对象分为观察组与对照组各72例,对照组给予常规康复干预,观察组在对照组干预的基础上给予有氧联合阻抗干预,2组干预观察周期为4周。结果观察组与对照组干预后的NIHSS评分分别为(2.94±1.43)分和(4.20±1.98)分,都明显低于干预前的(6.02±1.45)分和(6.02±1.97)分(均P<0.05),干预后观察组的NIHSS评分(38.40±5.66)分和(34.98±5.30)分也明显低于对照组(44.98±6.13)分和(43.98±5.67)分(P<0.05)。观察组的执行功能依从性为98.6%,而对照组为88.9%,观察组的执行功能依从性明显高于对照组(P<0.05)。观察组与对照组干预后的SAS和SDS评分都明显低于干预前(均P<0.05),并且观察组在干预后的SAS和SDS评分也明显低于对照组(均P<0.05)。结论有氧联合阻抗应用于颅脑损伤认知障碍患者,能改善患者神经功能,提高训练执行功能,缓解焦虑抑郁情绪。

Objective To investigate the effect of aerobic combined impedance on executive function and anxiety and depression of patients with traumatic brain injury. Methods From August,2014 to February,2016,144 brain injury patients with cognitive impairment by the rehabilitation treatment in our hospital were selected as the study subjects and were equally divided into observation group and control group accorded with block randomization method. The control group was given conventional rehabilitation intervention,the observation group was given the aerobic combined impedance based on the control group,and the intervention periods in the two groups were 4 weeks. Results The NIHSS scores in the observation group and control group after intervention were 2. 94 ± 1. 43 and 4. 20 ± 1. 98 respectively that were significantly lower than the before intervention of 6. 02 ± 1. 45 and 6. 02 ± 1. 97（ P〈0. 05）,and the observation group was significantly lower than that of the control group（ P〈0. 05）. The compliance of the observation group was 98. 6%,while that of the control group was 88. 9%. The compliance of the observation group was significantly higher than that of the control group（ P〈0. 05）. The SDS and SAS scores of the observation group and the control group after intervention were significantly lower than those before the intervention,and the SDS and SAS scores in the observation group after intervention were significantly lower than those in the control group（ P〈0. 05）. Conclusion The application of aerobic combined impedance in brain injury patients with cognitive impairment can improve neurological function,improve the training executive function,and relieve anxiety and depression that has good application values.