| 张倩,孙洁,刘婷慧,高盼盼.视觉刺激训练在脑卒中后重度认知障碍患者中的应用研究[J].中国康复,2024,39(11):655-659 |
| 视觉刺激训练在脑卒中后重度认知障碍患者中的应用研究 |
| Application of visual stimulation training in patients with severe cognitive impairment after stroke |
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| DOI：10.3870/zgkf.2024.11.003 |
| 中文关键词: 脑卒中 视觉刺激训练 重度认知障碍 视知觉感知能力 日常生活能力 |
| 英文关键词: stroke visual stimulation training severe cognitive impairment visual perceptual ability activities of daily living |
| 基金项目:徐州市医学领军人才培养项目（XWRCHT20210024）；江苏省老年健康科研项目（LKM2022046）；徐州市重点专项（XWKYHT20230012） |
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| 中文摘要: |
| 目的：探讨视觉刺激训练在脑卒中后重度认知障碍患者中的应用研究。方法：选取脑卒中后重度认知障碍患者60例,随机分为对照组和研究组各30例。2组均采取药物治疗、常规康复训练。在此基础上，研究组增加为期4周的视觉刺激训练。干预前后，对2组采用简易精神量表（MMSE）评估认知功能,视觉感知能力测试3（TVPS-3）和视知觉感知分测验（VPT）评估视觉和感知觉能力，改良Barthel指数(MBI)评价日常生活能力（ADL）。结果：治疗4周后，2组MMSE、VPT、MBI评分、TVPS-3总分及7个感知领域评分较治疗前提高（P＜0.01），研究组MMSE、VPT、MBI、TVPS-3总分及7个感知领域评分均高于对照组（P＜0.01），研究组MMSE与VPT评分呈正相关（rs=0.76，P＜0.01）。结论：视觉刺激训练能有效提高脑卒中后重度认知障碍患者的认知功能、视知觉感知能力和日常生活能力，且视知觉感知能力与认知功能存在显著正相关关系。 |
| 英文摘要: |
| Objective: To explore the application of visual stimulation training in patients with severe cognitive impairment after stroke. Methods: Totally, 60 patients with severe post-stroke cognitive impairment were randomly divided into 30 cases in the control group and 30 cases in the study group, and both groups were treated with medication and conventional rehabilitation training. The patients in the study group were given 4 weeks of visual stimulation training, additionally. Before and after the intervention, cognitive function was assessed by the MMSE, visual perceptual ability was assessed by the test of visual perception 3 (TVPS-3) and the visual perception subtest (VPT), and the ability to perform activities of daily living was assessed by the modified Barthel index (MBI) in the control and study groups. Results: After 4 weeks of treatment, MMSE, VPT, the 7 domains of TVPS-3 and MBI scores in the 2 groups were increased as compared with the pre-treatment scores (P<0.01), and MMSE, VPT, MBI, the scores of DIS, MEM and SEQ in theTVPS-3 of the study group were higher than those of the control group (P<0.05，0.01), and there was a positive correlation between the MMSE and VPT scores of the study group (rs=0.76,P<0.01). Conclusion: Visual stimulation training can effectively improve the cognitive function, visual perception ability and activities of daily living of patients with severe cognitive impairment after stroke, and there was a significantly positive correlation between visual perception ability and cognitive function. |
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