首页|多层次执行功能综合训练联合高压氧对脑出血患者神经功能、认知功能及日常生活能力的影响

多层次执行功能综合训练联合高压氧对脑出血患者神经功能、认知功能及日常生活能力的影响

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目的 研究脑出血患者采用多层次执行功能综合训练联合高压氧干预的效果.方法 选择三峡大学第一临床医学院2022年1—12月收治的80例脑出血患者为研究对象,根据随机数字表法将其分为对照组及观察组.对照组(n=40)采用高压氧干预,观察组(n=40)采用多层次执行功能综合训练联合高压氧干预.评估两组患者的神经功能、认知功能及日常生活能力.结果 干预前,两组的美国国立卫生研究院卒中量表(NIHSS)评分比较,差异无统计学意义(P>0.05);干预后,观察组的NIHSS评分为(8.34±1.27)分,低于对照组的(10.12±1.33)分,差异有统计学意义(P<0.05).干预前,两组的简易精神状态检查量表(MMSE)及蒙特利尔认知评估量表(MoCA)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的MMSE和MoCA评分分别为(24.38±1.92)分、(24.83±1.72)分,均高于对照组的(21.25±1.67)分、(20.24±1.49)分,组间差异有统计学意义(P<0.05).干预前,两组的日常生活能力量表(ADL)评分比较,差异无统计学意义(P>0.05);干预后,两组的ADL评分均高于干预前,差异有统计学意义(P<0.05),但两组ADL评分比较,差异无统计学意义(P>0.05).结论 多层次执行功能综合训练联合高压氧干预能改善脑出血患者的神经功能,提高其认知功能,对日常生活能力起到一定的帮助,值得临床推广使用.
Effects of Multi-Level Executive Function Comprehensive Training Combined with Hyperbaric Oxygen on Neurological Function,Cognitive Function and Daily Living Ability in Patients with Cerebral Hemorrhage
Objective To study the effect of multi-level executive function comprehensive training combined with hyperbaric oxygen intervention in patients with cerebral hemorrhage. Methods A total of 80 patients with cerebral hemorrhage admitted to the First Clinical Medical College of China Three Gorges University from January to December 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method. The control group (n=40) received hyperbaric oxygen intervention,and the observation group (n=40) received multi-level executive function comprehensive training combined with hyperbaric oxygen intervention. The neurological function,cognitive function and daily living ability were evaluated in both groups. Results Before intervention,there was no significant difference in National Institutes of Health Stroke Scale (NIHSS) scores between the two groups (P>0.05);after intervention,the NIHSS score of the observation group was (8.34±1.27) points,which was lower than (10.12±1.33) points of the control group,and the difference was statistically significant (P<0.05). Before intervention,there were no significant differences in the scores of Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) between the two groups (P>0.05);after intervention,the MMSE and MoCA scores of the observation group were (24.38±1.92) points and (24.83±1.72) points,respectively,which were higher than (21.25±1.67) points and (20.24±1.49) points of the control group,and the differences between the groups were statistically significant (P<0.05). Before intervention,there was no significant difference in Activities of Daily Living Scale (ADL) scores between the two groups (P>0.05);after intervention,the ADL scores of both groups were higher than before intervention,the difference was statistically significant (P<0.05),but there was no statistically significant difference in ADL scores between the two groups (P>0.05). Conclusion Multi-level executive function comprehensive training combined with hyperbaric oxygen intervention can improve the neurological function and cognitive function of patients with cerebral hemorrhage,and play a certain role in daily life ability,which is worthy of clinical promotion and use.

Multi-level executive function comprehensive trainingHyperbaric oxygenCerebral hemorrhageNeurological functionCognitive functionDaily living ability

郑艳

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三峡大学第一临床医学院(宜昌市中心人民医院)神经外科,湖北宜昌 443000

多层次执行功能综合训练 高压氧 脑出血 神经功能 认知功能 日常生活能力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)