|
|
|
| Effect of motor imagery and cognitive function training on BI, FCA scores and quality of life in elderly patients with cerebral infarction |
| HU Qiongwen. |
| Department of Physiatry,Hainan Provincial Cadre Sanatorium,Haikou 570000,China |
|
|
|
|
Abstract Objective To explore the effect of motor imagery and cognitive function training on BI, FCA scores and quality of life of elderly patients with cerebral infarction.Methods Ninety-five elderly patients with cerebral infarction treated in our hospital between September 2014 and December 2016 were divided into control group and observation group using a random number table. The control group was treated with early cognitive function training, while the observation group was additionally given the motor imagery therapy. The motor function, integrated functions, cognitive ability, ability of daily life, quality of life and changes of levels of serum neuron specific enolase (NSE) and brain-derived neurotrophic factor (BDNF) after treatment were observed in the two groups.Results Motor function, integrated functions, cognitive ability and daily life ability of these patients were improved after treatment, especially in the observation group (P<0.05). After treatment, the NSE level became lower while the BDN level was increased in both groups. The NSE level of the observation group after treatment was lower than that of the control group, but the level of BDNF was higher (P<0.05). After treatment, strength, memory, thinking, emotion, communication, mobility, daily life ability and hand function scores were improved in both groups.The quality of life score of the observation group was better than that of the control group (P<0.05).Conclusions Motor imagery combined with cognitive function training can improve the ability for daily life, motor function and cognitive function in elderly patients with cerebral infarction, promote the expression of BDNF and improve the quality of life of patients.
|
|
Received: 20 February 2018
|
|
|
|
|
|
| [1] |
汝 宁,杨 程.急性大面积脑梗死颅内出血的风险因素汇总分析[J].现代仪器与医疗,2016,22(4):71-72.
|
| [2] |
徐从英,张晓玲,吴 华,等.作业疗法对急性脑梗死患者认知功能及事件相关电位的影响[J].中华物理医学与康复杂志,2014,36(11):847-850.
|
| [3] |
全国第四届脑血管病学术会议.各类脑血管病诊断要点[J].中华神经科杂志,1996,29(6): 379-380.
|
| [4] |
吴晓缺.全程健康教育模式对老年脑卒中后偏瘫患者肢体功能康复的影响[J].临床心身疾病杂志,2017,23(3):134-135.
|
| [5] |
徐汉平,唐 岚,周礼清,等.国际功能、残疾和健康分类理念下的作业训练对社区脑卒中患者日常生活活动能力的影响[J].中华全科医师杂志,2016,15(11):875-877.
|
| [6] |
涂 隽,温宏峰.不同脑梗死分型与脑卒中后抑郁和认知功能障碍的关系研究[J].临床和实验医学杂志,2017,16(14):1396-1398.
|
| [7] |
侯翠霞,李水莉.综合性医院Barthel指数评分纳入护理分级的现状调查[J].护理研究,2017,31(21):2636-2640.
|
| [8] |
汪 静,任向花,崔馨元,等.首发脑卒中患者生存质量及其影响因素的路径分析[J].护士进修杂志,2017,32(17):1556-1560.
|
| [9] |
吕 星,王玉龙.作业疗法对急性脑梗死患者认知功能及日常生活能力的影响[J].中国当代医药2017,24(12):35-37.
|
| [10] |
Kim J, Song T J, Song D, et al.Nonrelevant cerebral atherosclerosis is a strong prognostic factor in acute cerebral infarction[J]. Stroke, 2013,44(7):2013-2015.
|
| [11] |
张 丽,王晓春.Orem自理护理模式对老年脑梗死患者认知功能及康复效果的影响[J].中华现代护理杂志,2014,30(3):312-314.
|
| [12] |
王灵芝,符雅屏,田 瑛.分期康复护理对脑梗死患者肢体运动功能及生活质量的影响[J].中华全科医学,2014,12(2):297-299.
|
| [13] |
梁俊华.5E康复模式对脑梗死偏瘫患者负性情绪的影响[J].安徽医药,2014,18(2):383- 385.
|
| [14] |
陈 晨.早期康复护理干预对脑卒中偏瘫患者肢体功能生活能力和负性情绪的影响[J].检验医学与临床,2014,11(5):702-704.
|
| [15] |
汪玲芳.运动想象疗法结合认知功能训练对老年脑梗死患者康复意义[J].中国农村卫生事业管理,2015,35(5):666-668.
|
| [16] |
李静艳,孙 宁,马宝英,等.优质护理对老年脑梗死患者生活质量、护理满意度及预后的改善作用[J].河北医药,2016,38(12):1898-1900.
|
| [17] |
韩玉兰,翟玉馨,郑玉芬,等.健康教育对大面积脑梗死患者预后的效果评价[J].国际护理学杂志,2014,15(33):2094-2096.
|
| [18] |
陈立英,廖仁昊,高 媛,等.康复训练对脑梗死患者神经功能转归及血清神经元特异性烯醇化酶、脑源性神经营养因子含量的影响[J].中国老年学杂志,2014,34(16):4470-4472.
|
| [19] |
Deguchi I, Horiuchi Y, Hayashi T,et al.Effects of rosuvastatin on serum lipids and arteriosclerosis in dyslipidemic patients with cerebral infarction[J].J Stroke Cerebrovasc DIS,2014,23(8):2007-2011.
|
| [20] |
樊书领.认知康复训练对急性脑梗死后认知功能障碍患者脑电特征的影响[J].中国继续医学教育,2016,8(8):198-199.
|
|
|
|
2018, Vol. 29 
