经颅直流电刺激联合计算机辅助认知训练对脑卒中后认知障碍患者康复效果的影响  

Effect of transcranial direct current stimulation combined with computerized cognitive training on rehabilitation of patients with post stroke cognitive impairment

作　　者：程立[1] 郭媛 秦倩 CHENG Li;GUO Yuan;QIN Qian(Department of Rehabilitation,the First People's Hospital of Shangqiu,Shangqiu,Henan 476100,China)

机构地区：[1]商丘市第一人民医院康复科,河南商丘476100

出　　处：《医药论坛杂志》2024年第4期404-407,412,共5页Journal of Medical Forum

摘　　要：目的探讨经颅直流电刺激(tDCS)联合计算机辅助认知训练(CCT)对脑卒中后认知障碍(PSCI)患者康复效果的影响。方法选取商丘市第一人民医院2021年1月—2022年12月收治的132例PSCI患者为研究对象,采用随机数字表法将患者分为CCT组(n=66)和tDCS联合组(n=66)。CCT组在常规治疗的基础上进行CCT康复治疗,tDCS联合组在CCT组基础上联合tDCS康复治疗。治疗8周后,比较两组临床疗效、认知功能[简易的智能精神状态检查量表(MMSE)和蒙特利尔认知评估量表(MoCA)]、执行能力[执行缺陷综合征行为学评定量表(BADS)]和日常生活能力[Barthel指数评分量表(BI指数)]。结果治疗8周后,tDCS联合组临床总有效率为92.42%,明显高于CCT组的74.24%(P<0.05);治疗8周后,两组MMSE、MoCA、BADS和BI指数评分均高于治疗前,且tDCS联合组MMSE、MoCA、BADS和BI指数评分明显高于CCT组(P<0.05)。结论与单独CCT康复治疗比较,tDCS联合CCT康复治疗可进一步提升PSCI患者的临床疗效,全面改善患者的认知功能,提升患者的执行能力和日常生活能力。Objective To explore the effect of transcranial direct current stimulation(tDCS)combined with computerized cognitive training(CCT)on the rehabilitation of patients with post stroke cognitive impairment(PSCI).Methods Totally 132 patients with PSCI treated in our hospital from January 2021 to December 2022 were selected as the study objects,and all patients were divided into CCT group(n=66)and tDCS combined group(n=66)by random number table method.CCT group received CCT rehabilitation on the basis of conventional treatment,and tDCS combined group re-ceived tDCS rehabilitation on the basis of CCT group.After 8 weeks of treatment,the clinical efficacy,cognitive function[mini-mental state examination(MMSE)and montreal cognitive assessment scale(MoCA)],executive ability[behavioral activation for depression scale(BADS)]and daily living ability[barthel index score(BI)]were compared between the two groups.Results After 8 weeks of treatment,the total effective rate of tDCS combined group was 92.42%,which was signifi-cantly higher than that of CCT group(74.24%)(P<0.05).After 8 weeks of treatment,the scores of MMSE,MoCA,BADS and BI index in both groups were higher than before treatment,and the scores of MMSE,MoCA,BADS and BI index in tDCS combined group were significantly higher than those in CCT group(P<0.05).Conclusion Compared with CCT rehabilita-tion alone,tDCS combined with CCT rehabilitation can further improve the clinical efficacy of PSCI patients,comprehensively improve the cognitive function of patients,and enhance the executive ability and daily living ability of patients.

关 键 词：脑卒中后认知障碍 经颅直流电刺激 计算机辅助认知训练 

分 类 号：R493[医药卫生—康复医学]