音乐放松训练联合贝克认知疗法对主动脉夹层术后POCD患者心脏肌力收缩储备及认知状态的影响

Effect of music relaxation training combined with Baker’s cognitive therapy on cardiac muscle contraction reserve and cognitive status in patients with POCD after aortic dissection

目的 探讨贝克认知疗法联合音乐放松训练对主动脉夹层术后认知功能障碍(POCD)患者认知状态及心脏肌力收缩储备的影响。方法 选取我科115例Stanford A型主动脉夹层术后POCD患者,根据随机数字表法分组。对照组57例给予常规护理及认知功能训练,观察组58例在常规护理的基础上给予贝克认知疗法和音乐放松训练,对比两组患者心脏肌力收缩储备(MCR)、认知状态、智力水平及静脉血栓栓塞症发生率。结果 干预后观察组节段MCR个数、左室整体MCR例数、认知功能各项评分、MMSE评分高于对照组,静脉血栓栓塞症发生率低于对照组(P<0.05)。结论在常规护理干预下联合音乐放松训练和贝克认知疗法对主动脉夹层术后POCD患者干预,可有效提高认知水平和智力水平,降低静脉栓塞发生率,促进心功能恢复。

Objective To explore the effect of Baker’s cognitive therapy combined with music relaxation training on the cognitive status and cardiac muscle contraction reserve of patients with cognitive dysfunction(POCD)after aortic dissection. Methods 115 patients with POCD after Stanford A-type aortic dissection in our department were selected and grouped according to the random number table method.57 patients in the control group were given conventional nursing and cognitive function training,and 58 patients in the observation group were given Baker cognitive therapy and music relaxation training on the basis of conventional nursing. The cardiac muscle contraction reserve,cognitive status,intelligence level and the incidence of venous thromboembolism between two groups were compared. Results After intervention,the number of segmental MCR,the number of overall left ventricular MCR,cognitive function scores,and MMSE scores of the observation group were higher than those of the control group,while the incidence of venous thromboembolism lower than that in the control group(P<0.05). Conclusion The combination of music relaxation training and Baker’s cognitive therapy under conventional nursing intervention can effectively improve the cognitive level and intelligence level of POCD patients after aortic dissection,reduce the incidence of venous embolism,and promote the recovery of heart function.