摘要
目的:探讨体感音乐疗法对颅脑外伤患者的作用。方法:31例中、重度颅脑外伤患者随机分为音乐组16例和对照组15例,均接受药物及综合康复治疗。音乐组并增加体感音乐疗法,将音乐耳机置于双耳,昏迷患者倾听以维瓦尔第的《四季之春》经演绎和古典变奏曲为主;清醒患者倾听莫扎特的《D大调双纳琴吹奏曲》为主治疗。治疗前后检测2组脑电图(EEG)、脑干诱发电位(BAEP)的变化及应用格拉斯哥结局量表(GOS)评定患者治疗后的临床康复效果。结果:治疗1个月后,EEG显示2组脑皮层活动恢复明显优于治疗前,音乐组优于对照组(P<0.05);BAFP显示2组与治疗前差异无统计学意义;GOS评定音乐组中轻度患者例数明显多于对照组。结论:体感音乐疗法可促进颅脑外伤患者多个系统的恢复,在一定程度上改善患者的预后,提高患者的生存质量。
Objective： To analyze the therapeutic effect of somatosensory vibro-music therapy for patients with brain trauma.Methods： Thirty-one patients with mild or serious brain trauma were randomly divided into test group（16 cases） and control group（15 cases）.Before and after intervention,electroencephalogram（EEG） and brainstem auditory evoked potential（BAEP） were recorded,and Glasgow Outcome Scale（GOS） was used to assess the rehabilitation outcome after intervention.The test group received the combined intervention of somatosensory vibro-music therapy and comprehensive rehabilitation for 4 weeks,while the control group received comprehensive rehabilitation intervention.Results： After 4 weeks,the activity of cerebral cortex in the test group was significantly increased as compared with the control group（P0.05）.Brain stem conduction function had no significant difference between the test group and the control group（P0.05）.The scores of GOS in the test group were significantly higher than those in the control group（P0.05）.Conclusion： somatosensory vibro-music therapy can promote the recovery of multiple systems of patients with trauma,and improve the prognosis to some extent and quality of life.
出处
《中国康复》
2011年第3期192-194,共3页
Chinese Journal of Rehabilitation
关键词
体感音乐疗法
颅脑外伤
脑电图
脑干诱发电位
格拉斯哥结局量表
somatosensory vibro-music therapy
brain injury
electroencephalogram
brainstem auditory evoked potential
Glasgow outcome scale
