脑卒中认知障碍患者治疗前后的脑电特征  

Electroencephalogram for Patients with Post-stroke Cognitive Impairment before and after Treatment

作　　者：焦磊磊 孙良文 高少军 卢敏 黄肖群[3] 石运序[1] 季林红[2] JIAO Lei-lei;SUN Liang-wen;GAO Shao-jun;LU Min;HUANG Xiao-qun;SHI Yun-xu;JI Lin-hong(School of Mechanical and Electronic Engineering&Automobile Engineering,Yantai University,Yantai,Shandong 264005,China;Department of Precision Instruments and Mechanology,Tsinghua University,Beijing 100084,China;Department of Rehabilitation Medicine,Yichang First People's Hospital,Yichang,Hubei 443000,China)

机构地区：[1]烟台大学机电汽车工程学院,山东烟台市264005 [2]清华大学摩擦学国家重点实验室智能与生物机械分室,北京市100084 [3]宜昌市第一人民医院康复医学科,湖北宜昌市443000

出　　处：《中国康复理论与实践》2020年第7期847-850,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的分析卒中后认知障碍(PSCI)患者治疗前后的脑电图变化。方法 2018年10月至2019年4月,12例PSCI患者在完成常规认知训练和重复经颅磁刺激治疗6周前后,采用简易精神状态检查、蒙特利尔认知评估量表和改良Barthel指数进行评定,闭眼静息态下采集脑电图。结果治疗后,患者各项评分均明显改善(|t|> 3.507, P <0.01)。α波绝对功率和相对功率增高(|t|> 2.522, P <0.05),脑对称指数和DTABR降低(t> 2.435, P <0.05)。结论 PSCI患者脑电图随认知功能恢复发生相应改变,可进一步研究脑电图与认知功能的关系。Objective To analyze the changes of electroencephalogram(EEG)before and after treatment in patients with post-stroke cognitive impairment(PSCI).Methods From October,2018 to April,2019,twelve PSCI patients received cognitive training and repetitive transcranial magnetic stimulation for six weeks.They were assessed with Mini-Mental State Examination,Montreal Cognitive Assessment and modified Barthel Index before and after treatment,while their closed-eye resting EEG were collected.Results The scores of all the assessments improved after treatment(|t|>3.507,P<0.01);while alpha absolute power and alpha relative power increased(|t|>2.522,P<0.05),and brain symmetry index and DTABR decreased(t>2.435,P<0.05).Conclusion The characteristics of EEG of PSCI patients changes with the recovery of cognitive function.Further research is needed about the relationship between EEG and cognitive function.

关 键 词：脑卒中 认知 脑电图 评定 

分 类 号：R743.3[医药卫生—神经病学与精神病学]