正中神经电刺激对脑梗死后认知功能障碍患者的疗效  

The efficacy of median nerve electrical stimulation in cognitive dysfunction patients after cerebral infarction

作　　者：贺春侠 刘永瑞[1] 王卫丽[1] 钟红丽[1] 郭延芳 李蕊 杜振峰[1] HE Chunxia;LIU Yongrui;WANG Weili(Department of Rehabilitation Medicine,Zhengzhou People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院康复医学科,郑州450000

出　　处：《国际精神病学杂志》2023年第2期287-289,共3页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20210692)。

摘　　要：目的 探讨正中神经电刺激(MNES)治疗脑梗死后认知功能障碍(PSCI)的临床疗效。方法 本研究对象为2021年1月~2022年3月我院96例PSCI患者,采用数字表法随机分组。对照组采用常规康复治疗,观察组在常规康复治疗基础上给予MNES治疗,共治疗6周。治疗前、治疗后评估两组患者的简易精神状态量表(MMSE)、美国国立卫生研究院卒中量表(NIHSS)、改良的Barthel指数评定表(MBI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果 治疗后两组MMSE评分、MBI评分较治疗前显著升高,NIHSS评分降低,且治疗后观察组MMSE评分、MBI评分显著高于对照组,NIHSS评分显著低于对照组(P<0.05);干预后两组患者SAS、SDS评分较治疗前显著降低,且干预后观察组显著低于对照组(P<0.05)。结论 MNES治疗PSCI能有效改善患者认知功能以及神经功能障碍,并提升生活质量,缓解负性情绪。Objectivee To investigate the clinical efficacy of median nerve electrical stimulation(MNES)in the treatment of patients with post-cerebral infarction cognitive impairment(PSCI).Methods Ninety-six patients with PSCI in our hospital from January 2021 to March 2022 were the subjects of this study and randomly assigned by the digital table method.The control group received conventional rehabilitation therapy,while the observation group received MNES therapy on the basis of conventional rehabilitation therapy for a total of 6 weeks.Before and after treatment,all of patients were evaluated with Mini-Mental State Scale(MMSE),National Institutes of Health Stroke Scale(NIHSS),Modified Barthel Index(MBI),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS).Results After treatment,the MMSE score and MBI score of the two groups were significantly increased,and the NIHSS score was decreased.After the intervention,the SAS and SDS scores of the two groups of patients were significantly lower than those before treatment,and the observation group was significantly lower than the control group after the intervention(P<0.05).Conclusion MNES treatment of PSCI can effectively improve the cognitive function and neurological dysfunction of patients,improve the quality of life,and reduce negative emotions.

关 键 词：正中神经电刺激 脑梗死 认知功能障碍 焦虑 抑郁 

分 类 号：R749.059[医药卫生—神经病学与精神病学]