经颅直流电刺激对卒中后认知损害的影响  

Effect of transcranial direct current stimulation on post-stroke cognitive impairment

作　　者：王媛 赵丽晶 刘红英[2] 刘锦澍 宋天娇 陈东明[2] Wang Yuan;Zhao Lijing;Liu Hongying;Liu Jinshu;Song Tianjiao;Chen Dongming(Department of Rehabilitation Therapy,School of Nursing,Jilin University,Changchun 130021,China;Department of Rehabilitation Medicine,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学护理学院康复治疗学教研室,长春130021 [2]吉林大学第一医院康复医学科,长春130021

出　　处：《国际脑血管病杂志》2021年第4期303-306,共4页International Journal of Cerebrovascular Diseases

摘　　要：卒中后认知损害(post-stroke cognitive impairment,PSCI)是由卒中引起的一系列综合征,包括注意力、语言功能、执行功能、视觉空间认知、情景记忆和工作记忆等1项或多项功能受损。PSCI的传统治疗方法包括药物治疗和认知训练,治疗方式有限且维持效果不佳,因此迫切需要一种辅助治疗方法以提高其治疗效果。经颅直流电刺激(transcranial direct current stimulation,tDCS)是一种安全成熟的非侵入性脑刺激技术,通过放置在头皮上的电极产生微弱的直流电(1~2 mA),改变神经元静息膜电位,调节大脑皮质兴奋性,从而达到治疗目的。文章综述了tDCS对PSCI的影响,期望为其康复治疗提供参考和指导。Post-stroke cognitive impairment(PSCI)is a series of syndromes caused by stroke,involving impairment of one or more cognitive functions,such as attention,language function,executive function,visuospatial cognition,episodic memory and working memory,etc.The traditional treatment methods of PSCI include drug therapy and cognitive training.The treatment modalities are limited and the maintenance effect is not good.Therefore,an auxiliary treatment method is urgently needed to improve its therapeutic effect.Transcranial direct current stimulation(tDCS)is a safe and mature non-invasive brain stimulation technique,which generates weak direct current(1-2 mA)through electrodes placed on the scalp to change the resting membrane potential of neurons,regulate the excitability of the cerebral cortex,so as to achieve the purpose of treatment.This article reviews the effect of tDCS on PSCI,and hopes to provide reference and guidance for its rehabilitation treatment.

关 键 词：卒中 认知障碍 经颅直流电刺激 卒中康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]