| 邬守凯,刘玲玉,陈 斌.卒中后偏瘫患者手法治疗前后视觉P300的变化[J].中国康复医学杂志,2013,28(3):238~241 |
| 卒中后偏瘫患者手法治疗前后视觉P300的变化 点此下载全文 |
| 邬守凯 刘玲玉 陈 斌 |
| 湖北省荆门市第一人民医院创伤骨科，448000 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 摘要
目的：探讨事件相关电位视觉P300在卒中后偏瘫患者认知功能评估中的价值。
方法：将48例卒中后偏瘫患者随机分为两组：治疗组25例，治疗手法为对偏瘫肢体行手法被动运动及定量运动；对照组23例，对患肢仅行良肢位摆放及无规则随意被动运动，两组治疗师选择采用盲法分组，治疗时间均为1.0h/次，每日2次，共1个月。对所有患者治疗前后进行视觉P300检查，使用简易智能量表（MMSE）评估患者的认知功能。
结果：治疗组手法康复1个月后，视觉P300的潜伏期明显缩短，波幅明显增高（P<0.01）。治疗后两组患者MMSE分值均增加，但治疗后两组比较无显著性意义（P>0.05）。
结论：特定手法治疗可明显改善患者的认知功能，视觉P300这一指标的变化值得进一步跟踪随访。 |
| 关键词：认知障碍 手法 视觉P300 简易精神状况检查 |
| Effects of manipulation treatment on cognitive function and visual P300 potential of patients after stroke Download Fulltext |
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| Department of orthopaedics, the First People's Hospital, Hubei, 448000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To study the effects of manipulation treatment on visual P300 potential of patients in cognitive function assessment after stroke.
Method：Forty-eight patients were randomly divided into two groups, special manipulation treatment group (25 cases) and control group(23 cases). Patients in manipulation group were regularly given a passive quantitative movement on affected joints 1h/time, 2times/d, for 1month, while patients in control group were irregularly given a passive movement or ordered to perform an autonomic movement. The visual P300 potential and mini-mental state examination (MMSE) assessment were administered pre-treatment and post-treatment (after one month) respectively.
Result：①The latency of visual P300 was severely shortened after the manipulation treatment, and the amplitude of visual P300 wave was heightened significantly. ②MMSE score increased after manipulation treatment, but the difference was not significant between 2 groups(P>0.05).
Conclusion：Visual P300 indexes might be useful in measuring cognitive function changes after stroke and the special manipulation treatment could also improve the patient's cognitive function. |
| Keywords:cognition disorders manipulation visual P300 mini-mental state examination |
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