【摘要】 目的:观察音乐疗法对非痴呆型血管性认知功能障碍(VCI)的临床疗效。方法:回顾性分析在重庆大学附属中心医院神经内科住院的40例非痴呆型VCI患者,随机分为治疗组和对照组,每组20例。两组患者均采用常规治疗,治疗组在采用常规治疗的同时加音乐治疗,观察两组的总有效率。结果:对照组治疗后简易精神状态检查量表(MMSE)和蒙特利尔认知评估量表(MoCA)评分明显高于入院时(P<0.05),日常生活能力量表(Barthel)评分与治疗前比较,则差异无统计学意义(P>0.05);治疗组治疗后MMSE、MoCA、Barthel评分均高于入院时(P<0.05);经治疗后治疗组MoCA、MMSE、Barthel评分均高于对照组,差异有统计学意义(P<0.05)。两组患者治疗期间未发现明显不良反应病例。结论:音乐疗法可改善非痴呆型VCI患者的认知功能,同时对日常生活能力也有提高作用,安全、经济、可靠。更多还原

【Abstract】 Objective:To observe clinical effect of musicotherapy on the patients with vascular cog-nitive impairment of none dementia(VCIND). Methods :40 patients with VCIND in Department of Neurology of our hospital were randomly divided into the treatment group and the control group, with 20 cases in each group. The control group was treated with conventional therapy, while the treatment group was treated with conventional therapy plus musicotherapy at the same time. The total effective rates of the two groups were observed and analyzed. Results:Simple Intelligence Scale Mental State Examination(MMSE) and the Montreal Cognitive Assessment Scale( MoCA) scores on the control group were significantly higher than those at admission( P<0.05). Barthel scores had no significant difference between before and after treatment( P> 0.05); MMSE、MoCA、Barthel scores after treatment in the treatment group were better than those at admission( P< 0.05); 05). MoCA, MMSE,ADL scores in treatment group after treatment were higher than those in the control group, and the difference was statistically significant(P<0.05). No obvious adverse reaction was found in the two groups. Conclusion :Musicotherapy with VCIND can improve cognitive function and daily life ability. It is safe,economical and reliable.更多还原