摘要
目的研究认知康复联合经颅直流电刺激(tDCS)用于脑卒中后认知障碍(PSCI)患者的影响。方法将PSCI患者88例按随机数字表法分为研究组和对照组。对照组予以神经内科常规药物治疗,治疗组予加用tDCS加认知训练治疗。比较2组临床疗效[简易精神状态检查(MMSE)评分提高率],认知功能[蒙特利尔认知评估量表(Moca)]、生活质量(Barthel指数)、运动功能(Fugl-Meyer)及执行功能[执行功能评价(BADS)]改善情况。结果治疗后研究组总有效率明显高于对照组(P<0.05)。治疗后2组患者Moca各子项评分及总分MMSE、ADL及Fugl-Meyer评分、BADS各项评分及总分均较本组治疗前升高,且治疗组较对照组更高(P<0.05)。结论经颅直流电刺激联合认知训练能够有效改善PSCI患者的认知功能、运动能力及日常生活的能力及其执行能力。
Objective To investigate the clinical effects of cognitive rehabilitation combined with transcranial direct current stimulation(tDCS)in treatment of patients with cognitive impairment after cerebral stroke(PSCI).Methods A total of 88 patients with PSCI were divided into research group and control group according to random number table method.The patients in control group were treated by conventional drugs,however,the patients in research group,on the basis of control group,were treated by tDCS combined with cognitive training.The clinical efficacy(MMSE score),the improvement of cognitive function(Moca),quality of life(Barthel indexe),motor function(Fugl-Meyer)and executive function(BADS)were observed and compared between the two groups.Results After treatment,the total effective rate in research group was 93.18%,which was significantly higher than that(77.27%)in control group(P<0.05).And the scores of Moca,MMSE,ADL,Fugl-Meyer,BADS and total scores in both groups were increased,moreover,which in research group were significantly higher than those in control group(P<0.05).Conclusion Transcranial direct current stimulation combined with cognitive training can effectively improve the cognitive function,motor ability,daily life ability and executive ability of patients with PSCI.
作者
吕学海
刘运平
马艳
胡芳
郎晓光
郝棚娜
程晓娜
梁志娟
LV Xuehai;LIU Yunping;MA Yan(Department of Rehabilitation Medicine,Handan Central Hospital,Hebei,Handan 056008,China)
出处
《河北医药》
CAS
2021年第18期2786-2789,共4页
Hebei Medical Journal
关键词
脑卒中
认知障碍
经颅直流电刺激
cerebral stroke
cognitive impairment
transcranial direct current stimulation
