| Objective:To explore the effects of stellate ganglion block (SGB) combined with computer assisted training on cognitive impairment following stroke.Methods:Sixty cases of cognition dysfunction after stroke were randomly divided into control group and observation group (n=30 each).The patients in both groups received basic symptomatic treatment and computer assisted cognitive rehabilitation (CACR).Simultaneously,the SGB was adopted to treat the patients in observation group.They were assessed with Mini Mental State Examination (MMSE),Neurological and Cognitive Status Examination (NCSE) and Modified Barthel Index (MBI) and LVA and RVA Vm and MCA Vm by trans-cranial Doppler (TCD) methods before and after training.Results:After 30-day treatment,the MMSE,NCSE and MBI scores in both two groups were significantly higher than those before treatment (P<0.01),and the scores in observation group were significantly higher than in control group (P<0.05).The LVA and RVA Vm and MCA Vm scores in both two groups were significantly lower than those before treatment (P<0.01),and the scores in observation group were significantly lower than in control group (P<0.05).Conclusion:CACR combined with SGB may significantly improve cerebral blood circulation and promote the recovery of cognitive function and ADL of the patients with stroke. |
