虚拟现实训练对脑梗死后认知功能障碍的康复治疗效果  

The effect of virtual reality training on the rehabilitation treatment of cognitive dysfunction patients after cerebral infarction

作　　者：任应国[1] 李尽义[1] 胡科[1] 贾东佩[1] 白方会 REN Yingguo;LI Jinyi;HU Ke(Department of Neurorehabilitation,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院神经康复科,南阳473000

出　　处：《国际精神病学杂志》2020年第6期1193-1195,1200,共4页Journal Of International Psychiatry

摘　　要：目的探讨虚拟现实(VR)训练对脑梗死后认知功能障碍患者的康复效果。方法研究对象为2019年1月~2020年1月我院80例脑梗死后认知功能障碍患者,数字表法随机均分为两组,对照组给予常规康复训练,观察组在对照组基础上进行VR训练。比较两组患者治疗前后蒙特利尔认知量表(MoCA)、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活活动能力量表(Barthel指数)以及事件相关电位P300检查结果。结果治疗后两组MoCA量表各评分均显著升高,且观察组均显著高于对照组(P<0.05);训练后两组NIHSS评分显著下降,Barthel指数显著升高,且训练后观察组两项评分均优于对照组(P<0.05);训练后两组患者的P300潜伏期均显著下降,波幅显著上升,且治疗后观察组均优于对照组(P<0.05)。结论VR训练能有效改善梗死后认知功能障碍患者的认知功能和神经功能缺损程度,提高其活动能力。Objective To explore the effect of virtual reality training on the rehabilitation treatment of cognitive dysfunction patients after cerebral infarction. Methods Eighty patients with cognitive dysfunction after cerebral infarction in our hospital from January 2019 to January 2020 were selected and randomly divided into two groups using the number table method. The control group was given regular rehabilitation training,and the observation group was given VR training on the basis of the control group. The Montreal Cognitive Scale(MoCA),the National Institutes of Health Stroke Scale(NIHSS)scores,the Activity of Daily Living Scale(Barthel Index)and the event related potential P300 examination of the two groups before and after training were compared. Results After training,the scores of MoCA scales in two groups were significantly increased,and the scores in observation group was significantly higher than that in control group(P<0.05). After training,the NIHSS scores and the Barthel index in two groups were significantly decreased,and the scores in the observation group were better than those in the control group(P<0.05). After training,the P300 latency of the two groups decreased significantly,and the amplitude increased significantly,and the observation group was better than the control group after treatment(P<0.05). Conclusion VR training can effectively improve the cognitive function of patients with cognitive dysfunction after infarction,reduce the degree of neurological deficits,and improve mobility.

关 键 词：虚拟现实训练 脑梗死 认知功能障碍 康复治疗 

分 类 号：R749.2[医药卫生—神经病学与精神病学]