耳穴压豆联合认知训练对创伤性脑损伤患者认知功能及睡眠质量的影响

Effect of Auricular Point Seed-Pressing Therapy Combined with Cognitive Training on Cognitive Function and Sleep Quality in Patients with Traumatic Brain Injury

摘要:

目的：观察耳穴压豆联合认知训练对创伤性脑损伤（TBI） 患者认知功能及睡眠质量的影响。方法：回顾性选取2021年5月—2024年5月于金华市中医医院康复科接受治疗的TBI患者112例，根据治疗方式不同分为对照组和联合组各56例。对照组给予常规护理，联合组在对照组基础上加耳穴压豆及认知训练，2组均治疗4周。评价2组临床疗效，比较2组简易精神状态检查量表（MMSE）、蒙特利尔认知评估量表（MoCA）评分及匹兹堡睡眠质量指数量表（PSQI） 评分。结果：治疗后3个月，联合组总有效率为94.64%（53/56），高于对照组82.14%（46/56）（P＜0.05）。治疗后1个月、治疗后3个月，2组MMSE评分、MoCA评分随时间推移逐渐上升，PSQI评分随时间推移逐渐下降（P＜0.05）。治疗后1个月、治疗后3个月，联合组MMSE评分、MoCA评分高于同期对照组，PSQI评分低于同期对照组（P＜0.05）。结论：耳穴压豆联合认知训练对TBI患者康复有积极效果，可显著改善患者认知功能及睡眠质量，提高临床疗效。

Abstract:

Abstract： Objective： To observe the effect of auricular point seed-pressing therapy combined with cognitive training on cognitive function and sleep quality in patients with traumatic brain injury （TBI）. Methods：A retrospective study was conducted on 112 TBI patients treated in the Department of Rehabilitation of Jinhua Hospital of Traditional Chinese Medicine from May 2021 to May 2024. They were divided into a control group and a combination group according to different treatment methods，with 56 cases in each group. The control group received routine nursing care， while the combination group received additional auricular point seed-pressing therapy and cognitive training based on the control group's treatment. Both groups were treated for four weeks. Clinical efficacy was evaluated，and the Mini- Mental State Examination （MMSE）， Montreal Cognitive Assessment （MoCA）， and Pittsburgh Sleep Quality Index （PSQI） scores were compared between the two groups. Results： At three months after treatment， the total effective rate was 94.64% （53/56） in the combination group，higher than 82.14% （46/56） in the control group （P＜ 0.05）. At one month and three months after treatment，MMSE and MoCA scores gradually increased over time in both groups，while PSQI scores gradually decreased over time （P＜0.05）. At one month and three months after treatment， the combination group showed higher MMSE and MoCA scores and lower PSQI scores than the control group at the same time points （P＜0.05）. Conclusion： Auricular point seed-pressing therapy combined with cognitive training has a positive effect on the rehabilitation of TBI patients， significantly improving cognitive function and sleep quality， and enhancing clinical efficacy.