高频重复经颅磁刺激对脑卒中恢复期患者认知功能的影响

被引：27

作者：

张帆 ^{[1
]}

邹淑怡 ^{[2
]}

机构：

[1] 中山大学附属第五医院急诊科

[2] 中山大学附属第五医院康复科

来源：

中国实用神经疾病杂志 | 2019年 / 22卷 / 22期

关键词：

脑卒中; 高频重复经颅磁刺激; 恢复期; 认知功能; 日常生活活动能力;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的观察高频重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)对脑卒中恢复期患者认知功能及日常生活活动能力(activities of daily living,ADL)的影响。方法将60例处于脑卒中恢复期且具有认知功能障碍的患者随机分为实验组(30例)和对照组(30例)。2组患者均予常规药物治疗及常规康复训练,实验组在此基础上予左前额叶背外侧区5 Hz rTMS治疗,对照组予左前额叶背外侧区假刺激,共治疗4周。治疗前、治疗4周后采用蒙特利尔认知评估量表评估认知功能,采用改良Barthel指数量表评估ADL。结果实验组和对照组患者的认知功能和ADL均在治疗4周后显著改善(P<0.05),且实验组患者认知功能提高的幅度显著高于对照组(P<0.05)。结论高频rTMS治疗可有助于改善脑卒中恢复期患者的认知功能及ADL。

引用

页码：2479 / 2485

页数：7

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