[1]张智芳.重复经颅磁刺激治疗脑卒中后认知障碍的效果及对认知功能的影响[J].医学信息,2021,34(10):119-121.[doi:10.3969/j.issn.1006-1959.2021.10.033]
　ZHANG Zhi-fang.The Effect of Repeated Transcranial Magnetic Stimulation on Cognitive Impairment After Stroke and Its Influence on Cognitive Function[J].Medical Information,2021,34(10):119-121.[doi:10.3969/j.issn.1006-1959.2021.10.033]
点击复制

重复经颅磁刺激治疗脑卒中后认知障碍的效果及对认知功能的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年10期
页码:
119-121
栏目:
论著
出版日期:
2021-05-15

文章信息/Info

Title:
The Effect of Repeated Transcranial Magnetic Stimulation on Cognitive Impairment After Stroke and Its Influence on Cognitive Function
文章编号:
1006-1959（2021）10-0119-03
作者:
张智芳
（天津市西青医院神经内科，天津 300070）
Author(s):
ZHANG Zhi-fang
(Department of Neurology,Tianjin Xiqing Hospital,Tianjin 300070,China)
关键词:
脑卒中; 认知障碍; 重复经颅磁刺激
Keywords:
Stroke; Cognitive impairment; Repeated transcranial magnetic stimulation
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.10.033
文献标志码:
A
摘要:
目的 探讨重复经颅刺激治疗脑卒中后认知功能障碍的效果及对认知功能的影响。方法 收集2019年1月~2020年5月我院收治的脑卒中后认知功能障碍患者76例，按照随机数字表法分为研究组和对照组，每组38例。参照组予以认知康复训练，研究组在对照组基础上联合重复经颅磁刺激治疗，比较两组ADL评分、NIHSS评分、MoCA评分、血浆CRP和Fib含量。结果研究组治疗后ADL评分、MoCA各维度评分高于对照组，NIHSS评分低于对照组，差异有统计学意义（P＜0.5）。研究组血浆CRP和Fib含量低于对照组[（5.99±2.11）mg/L vs（8.11±2.33）mg/L、（2.45±0.66）g/L vs（3.99±0.77）g/L]，差异有统计学意义（P＜0.5）。结论 重复经颅磁刺激能有效改善脑卒中后认知功能障碍患者记忆力、执行力等认知功能，还能提高患者的日常生活能力，降低血浆CRP和Fib含量。
Abstract:
Objective To investigate the effect of repeated transcranial stimulation on cognitive dysfunction after stroke and its influence on cognitive function.Methods A total of 76 patients with post-stroke cognitive impairment admitted to our hospital from January 2019 to May 2020 were collected and divided into study group and control group according to the random number table method, with 38 cases in each group.The reference group was given cognitive rehabilitation training, and the studygroup was combined with repeated transcranial magnetic stimulation on the basis of the control group.The ADL score, NIHSS score, MoCA score, plasma CRP and Fib levels were compared between the two groups.Results After treatment, the ADL score and MoCA scores of the study group were higher than the control group, and the NIHSS score was lower than the control group, the difference was statistically significant (P<0.5).The plasma CRP and Fib levels in the study group were lower than those in the control group[(5.99±2.11)mg/L vs (8.11±2.33)mg/L, (2.45±0.66)g/L vs (3.99±0.77)g/L], the difference was statistically significant (P<0.5).Conclusion Repeated transcranial magnetic stimulation can effectively improve the cognitive functions such as memory and executive ability of patients with cognitive dysfunction after stroke. It can also improve the patients’ ability of daily living and reduce plasma CRP and Fib levels.

参考文献/References:

[1]邓兆安,徐清,刘晓伟,等.重复经颅磁刺激联合音乐治疗对轻度认知功能障碍患者的干预效果[J].神经疾病与精神卫生,2019,19(8):782-787. [2]张雄,姜蕊琪,祁冬冬.重复经颅磁刺激联合度洛西汀对抑郁症患者认知功能及神经递质水平的影响[J].国际精神病学杂志,2019,46(6):1013-1015.[3]孙慧慧,卢艳华,李岩,等.高频重复经颅磁刺激联合认知干预治疗脑卒中失语症患者的临床效果[J].中国医学装备,2017,14(4):117-120. [4]赵非一,燕海霞,宋花玲,等.重复经颅磁刺激在大学生高水平女排运动员赛前焦虑及睡眠管理中的疗效探索[J].武汉体育学院学报,2019,53(10):93-100. [5]张咏梅,郭宇鑫,陈铭,等.经颅磁刺激治疗精神分裂症对认知功能的影响[J].宁夏医科大学学报,2020,42(4):77-80.[6]罗光霞,刘运洲.高频重复经颅磁刺激(rTMS)提高运动员的兴奋性及其脑电特征研究[J].天津体育学院学报,2011,26(5):449-452. [7]刘运洲,张忠秋.高频重复经颅磁刺激提高运动皮层兴奋性的研究[J].上海体育学院学报,2010,34(5):58-63. [8]罗红,余茜.基于静息态fMRI技术观察高频重复经颅磁刺激对出血性脑卒中认知功能的影响[J].中华物理医学与康复杂志,2019,41(4):279-282. [9]范汉程,杨丽英.重复经颅磁刺激治疗脑卒中后软瘫期运动障碍的临床观察[J].新余学院学报,2018,23(5):153-156. [10]吕铭新,刘双洁,王玉琴,等.10Hz高频重复经颅磁刺激联合高压氧对脑卒中后认知功能障碍及脑代谢的影响[J].微循环学杂志,2020,30(4):26-31.[11]刘长成,徐黎明,梅双燕,等.帕罗西汀联合重复经颅磁刺激治疗难治性强迫症对照研究[J].长江大学学报(自科版),2016,13(24):5-7. [12]成云芳,季燕.急性脑血管意外患者发生卒中相关性肺炎的危险因素分析[J].基层医学论坛,2019,23(1):11-13.[13]潘碧云,陈仕银,温达,等.老年阵发性心房颤动患者心电图V1导联P波终末电势与脑卒中的关系[J].中国老年学杂志,2020,40(19):4050-4054.[14]张海春,叶茂,刘淑军,等.彩色多普勒超声诊断脑卒中患者颈动脉斑块的临床价值[J].山西医药杂志,2020,49(5):25-27.[15]尹明宇,罗婧,胡昔权,等.高频重复经颅磁刺激对脑卒中后认知功能障碍的影响[J].中国康复医学杂志,2018,33(7):763-769. [16]任战领,陈颖,杨君君,等.低频rTMS对脑梗死后肢体运动功能障碍的康复作用[J].中国医学装备,2017,14(8):99-101. [17]陈慧杰.脑卒中后认知功能障碍发病情况及预测因素研究[J].实用医院临床杂志,2020,17(5):37-40.[18]王都.阿立哌唑联合重复经颅磁刺激对女性精神分裂症患者的疗效探究[J].甘肃科技,2020,36(8):110-112. [19]Kumar S,Singh S,Chadda RK,et al.The Effect of Low-Frequency Repetitive Transcranial Magnetic Stimulation at Orbitofrontal Cortex in the Treatment of Patients With Medication-Refractory Obsessive-Compulsive Disorder:A Retrospective Open Study[J].Journal of Ect,2017,34(2):1-5.[20]廖小丽,胡丽娟,杨波,等.重复性经颅磁刺激对吗啡依赖小鼠学习记忆的影响[J].四川大学学报(自然科学版),2011,48(1):186-190.

相似文献/References:

[1]尹美丽.早期康复护理对脑卒中临床疗效及偏瘫肢体功能的影响分析[J].医学信息,2018,31(05):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
　YIN Mei-li.Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia[J].Medical Information,2018,31(10):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
[2]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
　YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Medical Information,2018,31(10):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[3]王晓强,张艳军,贾 琎,等.早期康复介入与脑卒中合并代谢综合征患者并发症的关系[J].医学信息,2018,31(08):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
　WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,et al.Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome[J].Medical Information,2018,31(10):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
[4]侯艳雁,王 杰,邓丛磊.重复经颅磁刺激联合步态适应性训练对脑卒中患者运动康复及生活质量的影响[J].医学信息,2022,35(09):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
　HOU Yan-yan,WANG Jie,DENG Cong-lei.Effects of Repetitive Transcranial Magnetic Stimulation Combined with Gait Adaptive Training on Motor Rehabilitation and Quality of Life in Patients with Stroke[J].Medical Information,2022,35(10):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
[5]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
　LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Medical Information,2018,31(10):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
[6]钟 旭.慢性肾脏病相关神经精神疾病的研究[J].医学信息,2022,35(11):51.[doi:10.3969/j.issn.1006-1959.2022.11.015]
　ZHONG Xu.Study on Neuropsychiatric Diseases Associated with Chronic Kidney Disease[J].Medical Information,2022,35(10):51.[doi:10.3969/j.issn.1006-1959.2022.11.015]
[7]邵俊丽.静息心率与脑卒中关系的研究[J].医学信息,2018,31(16):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
　SHAO Jun-li.Research on Relationship between Resting Heart Rate and Stroke[J].Medical Information,2018,31(10):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
[8]平兴团,赵富强,杨 飞,等.家庭康复管理对卒中患者运动功能恢复的远期影响[J].医学信息,2018,31(16):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
　PING Xing-tuan,ZHAO Fu-qiang,YANG Fei,et al.Long-term Effects of Family Rehabilitation Management on Recovery of Motor Function in Stroke Patients[J].Medical Information,2018,31(10):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
[9]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
　LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Medical Information,2018,31(10):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[10]赵富强,平兴团,杨 飞,等.重心重塑训练对Pusher综合征的疗效观察[J].医学信息,2018,31(20):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
　ZHAO Fu-qiang,PING Xing-tuan,YANG Fei,et al.Therapeutic Effect of Center of Gravity Remodeling Training on Pusher Syndrome[J].Medical Information,2018,31(10):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
[11]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(10):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]

更新日期/Last Update: 1900-01-01