tDCS预刺激增强脑卒中认知功能障碍患者认知康复疗效的临床研究 |
| |
引用本文: | 余果,孙倩倩,肖阳,张慧田,何晓阔. tDCS预刺激增强脑卒中认知功能障碍患者认知康复疗效的临床研究[J]. 中国康复, 2020, 35(3): 131-134 |
| |
作者姓名: | 余果 孙倩倩 肖阳 张慧田 何晓阔 |
| |
作者单位: | 福建中医药大学康复医学院,福州 350122,福建中医药大学康复医学院,福州 350122,福建中医药大学康复医学院,福州 350122,福建中医药大学康复医学院,福州 350122,福建中医药大学康复医学院,福州 350122;厦门市第五医院,福建 厦门 361000 |
| |
基金项目: | 国家自然科学基金项目(81171863);福建中医药大学校级课题(XB2016058) |
| |
摘 要: | 目的:探讨经颅直流电刺激(tDCS)预刺激联合认知训练对脑卒中认知功能障碍(PSCI)患者认知功能的影响。方法:脑卒中后认知功能障碍患者76例随机分为观察组和对照组各38例,2组均采用常规药物和康复训练,观察组先给予tDCS预刺激,再进行认知训练,对照组先行认知训练,再进行tDCS刺激。治疗前和治疗4周后,采用蒙特利尔认知功能评测量表(MoCA)、改良Barthel指数(MBI)、事件相关电位P300对患者进行评定。结果:治疗4周后,2组较治疗前的MoCA及MBI评均明显提高(均P<0. 05),且观察组2项评分均高于对照组(均P<0. 05);2组较治疗前的P300潜伏期均明显缩短(均P<0. 05),波幅均明显增加(均P<0. 05),且观察组2项指标均更优于对照组(均P<0. 05)。结论:tDCS预刺激后给予认知训练方案对PSCI患者认知功能、ADL能力的改善作用优于先认知训练后tDCS刺激方案。
|
关 键 词: | 经颅直流电刺激 脑卒中 认知功能障碍 P300 认知功能 |
收稿时间: | 2019-05-22 |
修稿时间: | 2020-03-23 |
Controlled clinical improvement in cognition of priming transcranial direct current stimulation for post-stroke cognitive impairment |
| |
Affiliation: | (Rehabilitation Medicine College of Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China) |
| |
Abstract: | Objective:To investigate the clinical effect of transcranial direct current stimulation(tDCS)for poststroke cognitive impairment.Methods:Seventy-six patients with post-stroke cognitive dysfunction were randomly divided into the treatment group and the control group.Both groups were given conventional drugs and rehabilitation training.The treatment group was pre-stimulated with tDCS and then given cognitive training.The control group received cognitive training first and then tDCS stimulation.Before and after 4 weeks of treatment,the patients were evaluated using the Montreal cognitive function assessment scale(MoCA),modified Barthel index(MBI),and eventrelated potential(P300).Results:After 4 weeks of treatment,the MoCA and MBI ratings of the two groups were significantly higher than those before treatment(both P<0.05),and those in the treatment group were higher than in the control group(both P<0.05);The incubation period was significantly shortened(P<0.05),and the amplitudes were significantly increased(P<0.05),more significantly in the treatment group in the control group(P<0.05).Conclusion:The cognitive training program after tDCS pre-stimulation is better than the cognitive training tDCS stimulation program in improving the cognitive function and ADL of patients with post-stroke cognitive impairment. |
| |
Keywords: | Transcranial direct current stimulation Post-stroke cognitive impairment P300 Cognitive function |
本文献已被 CNKI 维普 等数据库收录! |
| 点击此处可从《中国康复》浏览原始摘要信息 |
|
点击此处可从《中国康复》下载免费的PDF全文 |
|