摘要目的 观察Forbrain言语听觉反馈训练对脑卒中后认知功能障碍患者的康复效果.方法 选取120例脑卒中后认知功能障碍的患者,随机分为试验组1(n=40),试验组2(n=40)和对照组(n=40)三组,对照组进行常规康复训练和康复护理,试验组1在对照组的基础上加用Forbrain言语听觉反馈训练,试验组2在对照组的基础上加用非标准的Forbrain言语听觉反馈训练,干预前及干预10周后,分别采用蒙特利尔认知评估量表(Montreal cognitive assessment scale ,MoCA)对患者进行测评.结果 干预10周后,试验组1在视结构技能[(2.05±0.50)分]、注意与集中[(2.15±0.36)分]、记忆[(2.18±0.59)分]及总标准分[(18.75±2.05)分]均较试验组2[视结构技能:(1.80±0.46)分、注意与集中:(1.90±0.441)分、记忆:(1.90±0.55)分、总标准分:(17.53±2.41)分]及对照组[视结构技能:(1.78±0.53)分、注意与集中:(1.85±0.36)分、记忆:(1.70±0.56)分、总标准分:(17.18±2.37)分]显著提高(均P<0.05).试验组1[(2.03±0.48)分]和试验组2[(1.85±0.53)分]语言能力评分均较对照组[(1.70±0.46)分]显著提高(均P<0.05). 结论 Forbrain言语听觉反馈训练可改善脑卒中患者的认知功能.

abstractsObjective To observe the intervention effect of Forbrain speech auditory feedback training on cognitive dysfunction in patients with stroke.methods 120 patients with cognitive dysfunction after stroke were divided into experimental group 1(n=40),experimental group 2 (n=40)and control group(n=40).The control group accepted conventional rehabilitation,while the experimental group 1 received Forbrain speech auditory feedback training additionally,and the experimental group 2 received the non-standard Forbrain speech auditory feedback training additionally.All the cases were assessed with Montreal cognitive assessment scale (MoCA)before and 10 weeks after intervention.Result sAfter 10-week intervention,the scores of structure skills(2.05±0.50),attention and concentration(2.15±0.36),memory(2.18±0.59) and the total score of MoCA(17.53±2.41) in experimental group 1 were higher than those in experimental group 2 (1.80±0.46,1.90±0.44,1.90±0.55,17.53±2.41) and control group(1.78±0.53),1.85±0.36,1.70±0.56,17.18±2.37) (all P<0.05).The Scores of language in experimental group 1(2.03±0.48)and experimental group 2(1.85±0.53) were higher than those in control group(1.70±0.46) (all P<0.05).Conclusion Forbrain speech auditory feedback training can improve cognitive function of patients with stroke.