| 孙莉,沈晓艳,叶维,严思.低强度激光鼻腔内照射对脑卒中后认知障碍患者的疗效观察[J].中国康复,2018,33(4):272-274 |
| 低强度激光鼻腔内照射对脑卒中后认知障碍患者的疗效观察 |
| Curative effectiveness of laser irradiation in nasal cavity for patients with cognitive impairment after stroke |
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| DOI： |
| 中文关键词: 脑卒中 LINC 认知障碍 |
| 英文关键词: Stroke Laser irradiation in nasal cavity Cognitive impairment |
| 基金项目:交通运输部长江航务管理局课题(201510009) |
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| 中文摘要: |
| 目的：研究低强度激光鼻腔内照射(LINC)联合认知康复训练对脑卒中后认知功能障碍的治疗效果。方法：收集合并认知功能障碍的首发脑卒中患者50例，随机分为对照组和观察组，各25例。对照组采用基础药物治疗和认知功能训练, 观察组在对照组基础上，加用LINC治疗。在治疗前、治疗后1个月分别用简易智能状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)和洛文斯顿认知功能评定测验（LOTCA）评定患者认知能力的改善情况。结果：治疗1及2个月后，2组MMSE及MoCA评分较治疗前均有明显提高(均P<0.05)，且2个时间点观察组2项评分均更高于对照组(均P<0.05)。治疗1及2个月后，2组的LOTCA总分及各项分均较治疗前有明显提高(均P<0.05)，且2个时间点观察组LOTCA总分及各项分均显著高于对照组(均P<0.05)。结论：合并有认知障碍的脑卒中患者，在药物治疗和认知功能训练的同时，给予LINC治疗，有利于其认知功能的改善。 |
| 英文摘要: |
| Objective: To explore the comprehensive effectiveness of laser irradiation in nasal cavity (LINC) and cognitive training for patients with cognitive impairment after stroke. Methods: Fifty cases who were diagnosed as having cognitive impairment after stroke were collected, and randomly divided into conventional therapy group (25 cases) and comprehensive therapy group (25 cases). The conventional therapy group accepted the cognitive training and drug treatment, and the comprehensive therapy group received the LINC besides the interventions used in conventional therapy group. MMSE, MoCA and LOTCA were used to assess the patient's curative effect before and one months after the therapy. Result: After treatment, the scores of MMSE, MoCA and LOTCA were increased significantly in both groups after one and two months of treatment (P<0.05 for all), and those in the comprehensive therapy group were significantly higher than those in the conventional therapy group (P<0.05). Conclusion: LINC with cognitive training has the positive effect on cognitive impairment after stroke. |
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