目的 分析运动想象与认知功能训练对老年脑梗死患者生活质量及BI、FCA评分的影响。方法 选取2014-09至2016-12医院收治的老年脑梗死95例,根据随机数字法分为对照组和观察组。对照组患者采用早期认知功能锻炼,观察组在对照组治疗基础上联合运动想象疗法。观察两组患者治疗后运动功能、综合能力、认知功能、日常生活能力、生活质量评分变化及血清神经元特异性烯醇化酶(NSE)、脑源性神经营养因子(BDNF)水平变化情况。结果 两组患者治疗后运动功能、综合功能、认知功能和日常生活能力评分均较治疗前改善,观察组患者治疗后运动功能、综合功能、认知功能和日常生活能力评分均优于对照组(P<0.05)。两组患者治疗后NSE水平较治疗前降低,BDN水平较治疗前上升,观察组患者治疗后NSE水平低于对照组,BDNF水平高于对照组(P<0.05)。两组患者治疗后力气、记忆和思维、情绪、交流、移动能力、日常生活能力及手功能评分均较治疗前改善,观察组患者治疗后生活质量评分优于对照组(P<0.05)。结论 运动想象联合认知功能训练可改善老年脑梗死患者日常生活能力、运动功能及认知功能水平,促进患者BDNF的表达,提高患者生活质量。

Objective To explore the effect of motor imagery and cognitive function training on BI, FCA scores and quality of life of elderly patients with cerebral infarction.Methods Ninety-five elderly patients with cerebral infarction treated in our hospital between September 2014 and December 2016 were divided into control group and observation group using a random number table. The control group was treated with early cognitive function training, while the observation group was additionally given the motor imagery therapy. The motor function, integrated functions, cognitive ability, ability of daily life, quality of life and changes of levels of serum neuron specific enolase (NSE) and brain-derived neurotrophic factor (BDNF) after treatment were observed in the two groups.Results Motor function, integrated functions, cognitive ability and daily life ability of these patients were improved after treatment, especially in the observation group (P<0.05). After treatment, the NSE level became lower while the BDN level was increased in both groups. The NSE level of the observation group after treatment was lower than that of the control group, but the level of BDNF was higher (P<0.05). After treatment, strength, memory, thinking, emotion, communication, mobility, daily life ability and hand function scores were improved in both groups.The quality of life score of the observation group was better than that of the control group (P<0.05).Conclusions Motor imagery combined with cognitive function training can improve the ability for daily life, motor function and cognitive function in elderly patients with cerebral infarction, promote the expression of BDNF and improve the quality of life of patients.