合肥市第二人民医院(安徽医科大学附属合肥医院)，安徽 合肥 230011
李敦玲（1981―），女，本科，研究方向：脑卒中后康复及神经重症。
毕美仙（1966―），女，本科，研究方向：内科临床管理。Email：1079185159@qq.com。
合肥市借转补项目（J2019Y01）。
The Second People's Hospital of Hefei， Hefei Hospital Affiliated to Anhui Medical University， Hefei， Anhui 230011， China
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目的 探讨虚拟现实（VR）技术结合肢体协调辅助装置训练对缺血性脑卒中患者脑灰质含量、运动功能、认知功能和日常生活能力的影响。方法 选取2022年2月至2023年1月合肥市第二人民医院收治的122例缺血性脑卒中患者作为研究对象，按照随机数字表法分为对照组（61例）和观察组（61例），其中对照组患者采取肢体协调辅助装置训练，观察组采取VR结合肢体协调辅助装置训练，治疗周期为2个月。对比治疗前后2组患者睁眼1 min轨迹面积、睁眼1 min摆动长度、上下肢运动功能、神经功能、认知功能和日常生活能力。结果 治疗后2组的睁眼1 min轨迹面积、睁眼1 min摆动长度均较治疗前显著减少（P<0.05），且观察组的轨迹面积和摆动长度均小于对照组（P<0.05）。治疗后2组的上下肢运动评分、脑灰质含量、蒙特利尔认知评估量表（MoCA）评分和日常生活能力均较治疗前显著提高（P<0.05），且观察组的这些指标水平均高于对照组（P<0.05）。治疗后神经功能评分均较治疗前显著降低（P<0.05），且观察组的该评分低于对照组（P<0.05）。结论 VR结合肢体协调辅助装置训练可有效促进缺血性脑卒中患者平衡功能的恢复，提高患者肢体运动功能，改善患者神经功能、认知功能和日常生活能力。 [国际神经病学神经外科学杂志, 2023, 50(6): 19-23]
Objective To investigate the effect of virtual reality （VR） technology combined with limb coordination assist device training on cerebral gray matter content， motor function， cognitive function， and activities of daily living in patients with ischemic stroke.Methods A total of 122 patients with ischemic stroke who were admitted to The Second People's Hospital of Hefei from February 2022 to January 2023 were enrolled as subjects， and they were divided into control group and observation group using a random number table， with 61 patients in each group. The patients in the control group were trained with the limb coordination assist device， and those in the observation group were trained with VR combined with the limb coordination auxiliary device， with a treatment time of 2 months for both groups. The two groups were compared in terms of 1 min eye opening track area， 1 min eye opening swing length， motor function of the upper and lower limbs， neurological function， cognitive function， and activities of daily living before and after treatment.Results After treatment， both groups had significant reductions in 1 min eye opening track area and 1 min eye opening swing length（P<0.05）， and the observation group had significantly smaller area and length than the control group（P<0.05）. After treatment， both groups had significant increases in the motor scores of the upper and lower limbs， grey matter content， Montreal Cognitive Assessment score， and activities of daily living（P<0.05）， and these indicators were significantly higher in the observation group than in the control group（P<0.05）. After treatment， both groups had a significant reduction in neurological score（P<0.05）， and the observation group had a significantly lower score than the control group （P<0.05）.Conclusions For patients with ischemic stroke， VR combined with limb coordination auxiliary device training can effectively promote the recovery of balance function and improve limb motor function， neurological function， cognitive function， and abilities of daily living. ［Journal of International Neurology and Neurosurgery, 2023, 50(6): 19-23］
引用本文
李敦玲,李文,陈静,等.虚拟现实技术结合肢体协调辅助装置训练对缺血性脑卒中患者脑灰质含量及肢体运动功能的影响[J].国际神经病学神经外科学杂志,2023,50(6):19-23.LI D,LI W,CHEN J,et al. Effect of virtual reality technology combined with limb coordination assistive device training on cerebral gray matter content and limb motor function in patients with ischemic stroke[J]. Journal of International Neurology and Neurosurgery,2023,50(6):19-23
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- 收稿日期:2023-07-14
- 最后修改日期:2023-11-10
- 在线发布日期: 2024-06-20
