重复经颅磁刺激结合计算机认知训练对脑卒中患者认知功能评估和日常生活能力分析  

Repetitive transcranial magnetic stimulation combined with computer cognitive training on cognitive function and daily living ability of stroke patients

作　　者：李雅薇[1] 吕星[1] 李旭晖 袁健[1] 孙浩然 Li Yawei;Lv Xing;Li Xuhui(Department of Rehabilitation Medicine,the First Affiliated Hospital of Shenzhen University(Shenzhen Second People's Hospital),Shenzhen 518000,China)

机构地区：[1]深圳大学第一附属医院(深圳市第二人民医院)康复医学科

出　　处：《中国康复》2020年第2期95-98,共4页Chinese Journal of Rehabilitation

摘　　要：目的:探讨重复经颅磁刺激(rTMS)结合计算机认知训练对脑卒中患者认知功能和日常生活能力的影响。方法:脑卒中患者84例随机分为观察组与对照组各42例,2组患者均予以常规药物治疗及康复训练,观察组在此基础上增用RTMS以及计算机认知训练。分别比较2组在干预前后认知功能、日常生活能力、生活质量变化情况以及患者满意度情况等方面的差异。结果:治疗4周后,2组MMSE评分、MoCA评分、Barthel指数及SS-QOL评分均较干预前明显提高(P<0.05,0.01),且观察组各项评分均明显高于对照组(P<0.05,0.01)。治疗后,2组患者满意度比较,观察组明显优于对照组(P<0.05)。结论:rTMS结合计算机认知训练可显著改善脑卒中患者的认知功能,同时有效提高日常生活能力以及生活质量,改善患者满意度,值得临床推广应用。Objective:To discuss the influence of repetitive transcranial magnetic stimulation(RTMS)combined with computer cognitive training on the cognitive function and daily living ability(DLA)of stroke patients.Methods:Eighty-four cases of stroke were randomly divided into the observation group and the control group(n=42 each).Both groups were given routine drug treatment and rehabilitation training,and the observation group accepted RTMS and computer cognitive training additionally.The differences in the cognitive function,DLA,quality of life change and patient satisfaction were compared between two groups before and after intervention.Results:Four weeks after treatment,Mini-mental state examination(MMSE)and Montreal cognitive assessment(MoCA)scores,Barthel index(Barthel)and Stroke specific quality of life scale(ss-QOL)scores were significantly higher than those before intervention(P<0.05,0.01),and those in the observation group were significantly higher than in the control group(P<0.05,0.01).After treatment,the patient satisfaction in the observation group was better than in the control group(P<0.05).Conclusion:RTMS combined with computer cognitive training can significantly improve the cognitive function of stroke patients,effectively improve the ADL and quality of life,and improve patient satisfaction.It is worthy of clinical promotion and application.

关 键 词：脑卒中 重复经颅磁刺激 计算机认知训练 认知功能 日常生活能力 

分 类 号：R49[医药卫生—康复医学] R743[医药卫生—临床医学]