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20212022

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1Survey on the interest in and influencing factors of cognitive rehabilitation for interns from rehabilitation therapeutics

蒋婷,向威, 石峰,龚瑜,管蔚畅,廖维靖

Objective:To understand the interest in and influencing factors of cognitive rehabilitation for interns from rehabilitation therapeutics interns.Methods:A total of 169 interns from rehabilitation therapeutics major who practiced in the department of neurorehabilitation, Zhongnan Hospital of Wuhan University from 2020 to 2022 were selected as study subjects. A questionnaire was used to investigate their interest, cognitive status and influencing factors in cognitive rehabilitation. Chi-square test and logistic regression analysis were used for statistical analysis.Results:A total of 57.4% (97/169) of the interns were interested in cognitive impairment rehabilitation. The top three cognitive domains they were interested in were memory [65.0%(63/97)], attention [60.8%(59/97)] and executive dysfunction [48.5%(47/97)]. Compared with the dispensing student, the students who volunteered to fill in the rehabilitation major were more interested in cognitive rehabilitation ( OR=3.41, 95% CI: 1.46~7.99); Students who rotated in the cognitive therapy room were also more interested in cognitive rehabilitation than students who did not rotate ( OR=2.28, 95% CI: 1.12~4.63), the differences were statistically significant (all P<0.05). Conclusions:Rehabilitation therapeutics interns are generally interested in cognitive rehabilitation. It is necessary to further strengthen faculty development of teachers in cognitive rehabilitation, improve their clinical professional ability and teaching level, expand students′ knowledge acquisition pathways and clinical practice opportunities and actively explore diversified teaching modes, so as to increase students′ interest and learning intentions in cognitive rehabilitation.

2022Chinese Journal of Medical Education（2022）

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2Effect of repetitive transcranial magnetic stimulation combined with action observation therapy on dysphagia after uni-lateral stroke

李梦露,江志国,管蔚畅,陈芳婷,王丝蕊,廖维靖

目的:探讨重复经颅磁刺激联合动作观察疗法对单侧大脑半球卒中后吞咽障碍患者的吞咽功能和吞咽生命质量的影响.方法:将60例卒中后吞咽障碍(PSD)患者随机分成对照组、重复经颅磁刺激(rTMS)组、动作观察疗法(AOT)组和重复经颅磁刺激结合动作观察疗法(rTMS+AOT)组,每组15例.每组患者均进行常规吞咽功能训练.对照组只接受常规吞咽训练,其余3组在常规吞咽训练的基础上分别接受rTMS或(和)AOT治疗,治疗均为每日1次,每次20min,1周5d,持续4周.治疗前后进行电视透视吞咽检查(VFSS)、标准吞咽功能评估(SSA)和吞咽生命质量量表(SWAL-QOL)评估.结果:治疗4周后,4组患者口腔运送时间(OTT)、吞咽反应时间(SRT)、咽传递时间(PTT)、喉关闭时间(LCT)和SSA评分均较治疗前下降(P＜0.05),且SWAL-QOL评分升高(P＜0.05).与对照组比较,其余3组OTT、SRT、PTT、LCT和SSA评分均明显下降(P＜0.05),SWAL-QOL评分明显增高(P＜0.05).其中rTMS组和AOT组差异无统计学意义,但是rTMS+AOT组与rTMS组和AOT组比较,OTT、SRT、PTT、LCT和SSA评分均明显下降(P＜0.05),SWAL-QOL评分明显增高(P＜0.05).结论:rT-MS和AOT均能提高PSD患者的吞咽功能和吞咽生命质量,但是rTMS结合AOT的效果优于单一的rTMS和AOT.

2022Chinese Journal of Rehabilitation（2022）引用：2

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3Effect of action observation therapy based on virtual reality technology on dysphagia after stroke

陈芳婷,郑俊,欧建林,管蔚畅, 彭来应,廖维靖

目的:探讨基于虚拟现实技术的动作观察疗法对脑卒中后吞咽障碍的影响.方法:将42例脑卒中吞咽障碍患者随机分为观察组(n=22)和对照组(n=20).2组患者均进行常规吞咽训练,观察组在常规吞咽训练的基础上在虚拟现实设备中进行动作观察疗法.治疗前后行吞咽相关的时间学参数分析、标准吞咽功能评估(SSA)、渗漏误吸评估(PAS).结果:治疗4周后,2组吞咽时间学参数比较,2组口腔运送时间、吞咽反应时间、咽运送时间、喉关闭时间均较治疗前明显缩短(P＜0.05),观察组除了喉关闭时间外,其余各时间均较对照组明显缩短(P＜0.05).治疗后,2组SSA及PAS评分均较治疗前明显降低(P＜0.05),观察组2项评分明显低于对照组(P＜0.05).结论:基于虚拟现实技术的动作观察疗法可改善脑卒中后吞咽障碍患者的吞咽功能.

2020Chinese Journal of Rehabilitation（2020）引用：5

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4Effects of Music Therapy Combined with Speech Language Therapy on Language Perfor?mance in Non-Fluent Aphasia after Stroke

Hai-yan WANG,Wei-chang GUAN,Jun ZHENG,Lu LIN,Wei-jing LIAO

目的:观察音乐疗法联合常规语言治疗对脑卒中后非流畅性失语患者语言功能恢复的影响.方法:将37例符合纳入条件的脑卒中后非流畅性失语患者随机分为观察组(19例)和对照组(18例),2组患者均接受常规药物治疗及肢体康复治疗,观察组在此基础上每天接受30 min音乐疗法和30 min常规语言治疗,对照组每天接受1 h常规语言治疗,每周治疗5 d.治疗前及治疗4周后,采用西方失语成套测验(WAB)汉化版口语部分与Goodglass-Kaplan失语症严重程度分级标准(ASRS)评定患者语言功能.结果:治疗后,2组WAB各项评分及ASRS评级均较治疗前改善(P<0.01).治疗后,观察组流畅度,复述,命名及失语指数(AQ)评分均优于对照组(P<0.05),但2组患者信息量、自发言语、听理解评分及ASRS评级组间差异无统计学意义(P>0.05).结论:音乐疗法联合常规语言治疗能有效改善脑卒中后非流畅性失语患者的语言功能,尤其是言语流畅度,复述及命名能力.

2020Neural Injury and Functional Reconstruction（2020）引用：8

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5电针加按摩治疗周围性面神经炎(附147例报告)

管蔚畅

目的观察应用电针加按摩治疗周围性面神经炎的临床疗效.方法147例周围性面神经炎患者按就诊顺序分为治疗组和对照组,治疗组86例采用电针和按摩治疗,对照组61例采用常规针刺治疗,2个疗程后比较两组疗效.结果治疗组痊愈78例,痊愈率90.7%;对照组痊愈45例,痊愈率73.8%;两组疗程比较,治疗组第1疗程痊愈48例,占61.5%,第2疗程痊愈30例,占38.5%;对照组第1疗程痊愈18例,占40%,第2疗程痊愈27例,占60%;两组总痊愈率和第1疗程痊愈率均有显著差异(P＜0.01).结论电针加按摩治疗周围性面神经炎优于常规针刺疗法.

2006JOURNAL OF NEW MEDICINE（2006）

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