脑电仿生电刺激联合音乐疗法对脑卒中患者认知功能的影响

Effect of bionic electrical stimulation combined with music therapy on cognitive function of stroke patients

目的探讨脑电仿生电刺激联合音乐疗法对脑卒中患者认知功能的影响。方法选取2019年12月至2020年10月江苏省南通市第一人民医院康复医学中心收治的52例脑卒中后伴认知功能障碍患者作为研究对象,按照随机抽签法将其分为试验组与对照组,每组各26例。对照组患者采用常规药物治疗和康复训练方法,试验组患者在对照组的基础上采用脑电仿生电刺激和音乐疗法,治疗期间观察有无不良反应的发生。采用简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)和改良Barthel指数表(MBI)比较两组患者治疗前、治疗4周后的认知功能和日常生活自理能力。结果治疗前,两组患者的MMSE、MoCA、MBI评分比较,差异无统计学意义(P>0.05)。治疗4周后,试验组患者的MMSE[(25.62±2.33)分]、MoCA[(25.04±2.47)分]、MBI[(72.12±8.27)分]高于对照组[(23.15±3.50)、(22.65±3.26)、(65.19±8.66)分],差异有统计学意义(P<0.05)。两组患者治疗期间均未发生明显的不良反应。结论脑电仿生电刺激联合音乐疗法能促进脑卒中患者认知功能的改善,提高日常生活自理能力。

Objective To investigate the effect of bionic electrical stimulation combined with music therapy on cognitive function of stroke patients.Methods From December 2019 to October 2020,52 patients with post-stroke cognitive dysfunction admitted to the Rehabilitation Medicine Center of the First People′s Hospital of Nantong City,Jiangsu Province were selected as the research objects.They were divided into the experimental group and the control group according to random lottery method,with 26 cases in each group.The control group received conventional drug treatment and rehabilitation training,and the experimental group added bionic electrical stimulation and music therapy.The occurrence of adverse reactions was observed during treatment.Before treatment and after 4 weeks of treatment,the two groups of patients were evaluated with mini-mental state examination(MMSE),Montreal cognitive assessment(MoCA)and the modified Barthel index(MBI)to assess the cognitive function and self-care ability in daily life.Results Before treatment,there were no statistically significant differences in MMSE,MoCA and MBI scores between the two groups(P>0.05).After 4 weeks of treatment,MMSE([25.62±2.33]points),MoCA([25.04±2.47]points),MBI([72.12±8.27]points)in experimental group were higher than those in control group([23.15±3.50],[22.65±3.26],[65.19±8.66]points),and the differences were statistically significant(P<0.05).There were no obvious adverse reactions in the two groups during treatment.Conclusion Bionic electrical stimulation combined with music therapy can promote the improvement of the cognitive function of stroke patients and improve the ability of self-care in daily life.