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电子生物反馈联合护理干预治疗非痴呆型血管性认知障碍的研究

Study of electronic biofeedback combined with nursing intervention in the treatment of vascular cognitive impairment-no dementia.

作者信息

Wang Hongmin, Zhang Xin, Wang Peizhi, Dai Guining, Liu Li, Xu Yanfang, Wang Huijun, Zhang Yongqian

机构信息

Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.

Department of Hepatology, The First Hospital of Hebei Medical University, Shijiazhuang, 050031, Hebei, China.

出版信息

Acta Neurol Belg. 2024 Jun;124(3):871-877. doi: 10.1007/s13760-023-02471-z. Epub 2024 Jan 29.

Abstract

OBJECTIVE

To investigate the effects of electronic biofeedback combined with nursing intervention and conventional drug treatment on cognitive function in patients with vascular cognitive impairment-no dementia (VCIND).

METHODS

A total of 102 patients with VCIND treated in the Department of Neurology from January 2021 to May 2022 were enrolled and divided into the routine treatment group and biofeedback group according to different treatment methods. The routine treatment group was given conventional drug therapy and nursing intervention; for the biofeedback group, electronic biofeedback therapy was added, based on the routine treatment group. The Montreal Cognitive Assessment, (MoCA), Alzheimer's Disease Assessment Scale-Cognitive Subscale, (ADAS-cog), and Hamilton Depression Scale (HAMD) were checked before treatment, 2 weeks after treatment, and 3 months after treatment.

RESULTS

At 3 months of treatment, the scores of the MoCA and ADAS-cog scales in the biofeedback group were better than those in the routine treatment group, while no difference was detected in the HAMD scores before and after treatment and between the two groups.

CONCLUSION

Electronic biofeedback therapy for VCIND can significantly improve the MoCA score, reduce the ADAS-cog score and improve the cognitive level of patients and can be used as a complementary treatment for VCIND.

摘要

目的

探讨电子生物反馈联合护理干预及传统药物治疗对非痴呆型血管性认知障碍(VCIND)患者认知功能的影响。

方法

选取2021年1月至2022年5月在神经内科接受治疗的102例VCIND患者,根据不同治疗方法分为常规治疗组和生物反馈组。常规治疗组给予传统药物治疗及护理干预;生物反馈组在常规治疗组的基础上增加电子生物反馈治疗。在治疗前、治疗2周后及治疗3个月后检查蒙特利尔认知评估量表(MoCA)、阿尔茨海默病评估量表-认知分量表(ADAS-cog)和汉密尔顿抑郁量表(HAMD)。

结果

治疗3个月时,生物反馈组的MoCA和ADAS-cog量表评分优于常规治疗组,而治疗前后及两组间的HAMD评分差异无统计学意义。

结论

电子生物反馈治疗VCIND可显著提高MoCA评分,降低ADAS-cog评分,改善患者认知水平,可作为VCIND的辅助治疗方法。

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