目的 探讨早期认知康复训练结合音乐疗法对脑卒中患者认知功能、日常生活活动能力和心理的影响。 方法 2016年3月至2017年9月收治的脑卒中患者56例，随机分为对照组(n = 28)和观察组(n = 28)，对照组予运动训练和早期认知训练，观察组在此基础上接受音乐疗法，共4周。治疗前后采用简易精神状态检查(MMSE)、洛文斯顿作业疗法认知评定(LOTCA)、改良Barthel指数(MBI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评定。 结果 治疗后，两组MMSE评分、LOTCA总分和项目评分，以及MBI评分均升高(t > 5.480, P < 0.05)，SAS和SDS评分显著降低(t > 10.227, P < 0.001)；与对照组比较，观察组治疗后MMSE和LOTCA评分总分以及MBI评分均明显提高(t > 2.648, P < 0.05)，SDS评分下降(t = 2.818, P < 0.05)。 结论 结合音乐疗法能促进脑卒中患者认知功能和日常生活活动能力恢复，促进心理健康。
Objective To explore the effect of early cognitive rehabilitation combined with music therapy on cognitive function, activities of daily living (ADL) and psychology in stroke patients. Methods From March, 2016 to September, 2017, 56 stroke patients were were randomly divided into control group (n = 28) and observation group (n = 28). All the patients accepted early motor and cognitive rehabilitation, the observation group accepted music therapy in addition, for four weeks. They were assessed with Mini-Mental State Examination (MMSE), Loewenstein Occupational Therapy Congnitive Assessment (LOTCA), modified Barthel Index (MBI), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Results The scores of MMSE, scores of subscales and total scale of LOTCA, and MBI increased in both group after treatment (t > 5.480, P < 0.05), while the scores of SAS and SDS decreased (t > 10.227, P < 0.001). The total scores of MMSE, LOTCA and MBI increased more (t > 2.648, P < 0.05), and the scores of SDS decreased more (t = 2.818, P < 0.05) in the observation group than in the control group. Conclusion Combination of music therapy may promote the recovery of cognitive function, ADL and mental health for stroke patients.
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