音乐治疗对脑卒中后认知障碍的效果

Effect of music therapy on post-stroke cognitive impairment

目的 观察音乐治疗对脑卒中后认知障碍患者认知功能、运动功能和日常生活活动能力的影响。方法 选取2020年12月至2022年7月北京博爱医院脑卒中后认知障碍的患者48例,随机分为对照组(n=24)和试验组(n=24)。两组均给予神经内科常规药物治疗、护理和康复治疗,试验组在此基础上增加音乐治疗,共8周。干预前后采用洛文斯顿作业疗法认知评定成套测验(LOTCA)分析认知功能的变化,采用FuglMeyer评定量表(FMA)、改良Barthel指数(MBI)评价运动功能和日常生活活动能力。结果 对照组脱落6例。治疗前后,试验组LOTCA总分和FMA评分差值均大于对照组(t> 2.665,P <0.05);两组MBI评分差值无显著性差异(P> 0.05)。结论 音乐治疗可以提高脑卒中后认知障碍患者认知功能和运动功能。

Objective To observe the effect of music therapy on cognitive function,motor function,and activities of daily living(ADL)of patients with post-stroke cognitive impairment.Methods From December,2020 to July,2022,48 patients with post-stroke cognitive impairment in Beijing Bo'ai Hospital were enrolled and randomly divided into control group(n=24)and experimental group(n=24).Both groups received conventional medication,nursing,and conventional rehabilitation,while the experimental group received music therapy additionally,for eight weeks.Before and after intervention,the cognitive function was assessed by Loewenstein Occupational Therapy Cognitive Assessment(LOTCA),and motor function and ADL were assessed with Fugl-Meyer Assessment(FMA)and modified Barthel Index(MBI),respectively.Results Six cases in the control group dropped down.The increase in the scores of LOTCA and FMA was more in the experimental group than in the control group(t>2.665,P<0.05),however,no significant difference was found in the increase of MBI score between two groups.Conclusion Music therapy could improve the cognitive function and motor function of patients with post-stroke cognitive impairment.