低频经颅重复刺激联合感知提醒疗法对额叶损伤患者认知功能和记忆力恢复的影响  

Low Frequency Transcranial Repetitive Stimulation Combined with Perceptual Reminder Therapy for Cognitive Function and Memory in Patients with Frontal Lobe Injury

作　　者：于海晶 王媛[1] 姚慧娟 王荣荣[1] YU Haijing;WANG Yuan;YAO Huijuan(Affiliated Qingdao Central Hospital of Qingdao University,Qingdao Cancer Hospital,Qingdao Shandong 266042)

机构地区：[1]青岛大学附属青岛市中心医院,青岛市肿瘤医院,山东青岛266042

出　　处：《医学临床研究》2023年第10期1544-1546,共3页Journal of Clinical Research

摘　　要：【目的】探讨低频经颅重复刺激联合感知提醒疗法对额叶损伤患者认知功能和记忆力恢复的影响。【方法】回顾性分析2018年6月至2021年9月本院收治的71例额叶损伤患者的临床资料,根据治疗方法的不同将其分为观察组(n=36)和对照组(n=35)。对照组患者给予感知提醒干预疗法,观察组患者在此基础上联合低频经颅重复刺激干预疗法。采用蒙特利尔认知评估量表(MoCA)评估两组患者干预后的认知功能,采用RBMT-Ⅱ行为记忆检测第二版评估两组患者记忆力,比较两组患者干预后的认知功能和记忆力。【结果】观察组患者抽象力、定向力、注意力、记忆力、语言功能、命名力、视空间与执行空间评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后RBMT-Ⅱ评分为(21.03±1.16)分,显著高于对照组患者的(18.43±1.21)分,差异有统计学意义(t=9.24,P<0.05)。【结论】额叶损伤患者在感知提醒疗法基础上应用低频经颅重复刺激干预疗法,可有效改善患者认知功能,促进患者记忆力恢复,具有临床推广价值。【Objective】To investigate the effect of low frequency transcranial repetitive stimulation combined with perceptual reminder therapy on cognitive function and memory recovery in patients with frontal lobe injury.【Methods】A retrospective analysis was conducted on the clinical data of 71 patients with frontal lobe injury admitted to our hospital from June 2018 to September 2021.They were divided into observation group(n=36)and control group(n=35)according to different treatment methods.The control group received perceptual reminder intervention therapy,while the observation group received low frequency transcranial repetitive stimulation intervention therapy on this basis.The montreal cognitive assessment(MoCA)was used to assess cognitive function in both groups after intervention,and RBMT-Ⅱbehavioral memory detection second edition was used to assess memory.Cognitive function and memory were compared between the two groups after intervention.【Results】Abstract ability,directional ability,attention,memory,language function,naming ability,visual space and executive space scores,as well as total scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The RBMT-Ⅱscore of the observation group after intervention was(21.03±1.16)scores,while that of the control group was(18.43±1.21)scores.The observation group was significantly higher than the control group,and the difference was statistically significant(t=9.24,P<0.05).【Conclusion】In patients with frontal lobe injury,the application of low frequency transcranial repetitive stimulation intervention therapy on the basis of perceptual reminder therapy can effectively improve cognitive function and promote memory recovery,which has clinical promotion value.

关 键 词：额叶/损伤 经颅磁刺激 认知 记忆 

分 类 号：R642[医药卫生—外科学]