音乐疗法配合认知训练对脑卒中早期患者认知功能的影响  

Music therapy for alleviating cognitive dysfunction in early stroke patients

作　　者：任兰芬[1] 孙乐蓉[1] 黄杰[1] 廖雁琳[1] 李伟[1] 覃东[1] 廖维靖[2] 

机构地区：[1]三峡大学人民医院、湖北省宜昌市第一人民医院康复医学科,宜昌443000 [2]武汉大学中南医院康复医学科

出　　处：《中华物理医学与康复杂志》2010年第1期30-33,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察音乐疗法配合认知训练对脑卒中早期患者认知功能的影响。方法将40例脑卒中早期患者按人院时间先后随机分为观察组与对照组，每组20例，观察组采用音乐疗法配合认知训练，对照组进行认知训练。应用洛文斯顿作业疗法认知评定成套测验（LOTCA）中文第二版评定认知功能，用改良Barthel指数（MBI）评定日常生活活动能力。治疗前及治疗6周后对2组患者进行评定。结果治疗后，2组的LOTCA总分、MBI评分均较治疗前增加，差异均有统计学意义（P〈0．05）。观察组患者的LOTCA总分、MBI评分均较对照组高，差异亦有统计学意义（P〈0．05）。治疗后，LOTCA子项目除空间知觉外，在视知觉、动作运用、视运动组织、思维操作、注意力及专注力方面，观察组、对照组之间的差异均有统计学意义（P〈0．05）。结论音乐疗法配合认知训练比单纯的认知训练对改善脑卒中早期患者的认知功能障碍更加有利，并能更显著提高患者日常生活活动能力。Objective To investigate the effects of music therapy in treating cognitive dysfunction in early stroke patients. Methods Forty patients who had suffered a stroke in the previous four weeks were randomly divided into two groups of 20. One received music therapy as part of their cognitive training （observation group） , and the other did not （control group）. Before and after 6 weeks of treatment, cognitive functioning was evaluated using the second Chinese edition of Loewenstein＇s occupational therapy cognitive assessment （LOTCA）. The patients＇ ability in the activities of daily living was also evaluated using the modified Barthel index （MBI）. Results After treatment, the total LOTCA and MBI scores in both groups were significantly higher than before. Both LOTCA and MBI scores in the observation group were significantly higher than in the control group, and there were also significant differences between the observation and control groups on all of the LOTCA sub-items except spatial perception. Conclusions Music therapy can improve the effects of rehabilitation on cognition and the ADL ability of early stroke patients.

关 键 词：音乐疗法 认知训练 脑卒中 洛文斯顿作业疗法认知评定成套测验 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.1[医药卫生—临床医学]