经颅磁刺激结合镜像视觉反馈训练对脑卒中后偏侧忽略的改善效果  

Transcranial Magnetic Stimulation Combined with Mirror Visual Feedback Training Improves the Clinical Effect of Unilateral Neglect after Stroke

作　　者：张弢[1] 张晶晶 李艳[1] 刘靓 徐慧[1] Zhang Tao;Zhang Jingjing;Li Yan;Liu Liang;Xu Hui(Department of Rehabilitation Medicine,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336)

机构地区：[1]上海交通大学医学院附属同仁医院康复科,上海200336

出　　处：《国际老年医学杂志》2024年第3期298-302,共5页International Journal of Geriatrics

基　　金：上海市长宁区卫健委课题资助项目(20214Y005);上海市同仁医院院级课题资助项目(TRGG202112)。

摘　　要：目的 探究经颅磁刺激联合镜像视觉反馈训练系统治疗脑卒中后偏侧忽略的临床疗效。方法 选取2021年1月-2022年12月就诊于上海市同仁医院康复科的脑卒中偏侧忽略患者60例作为研究对象,根据随机数字表法分为对照组和联合组,各30例。对照组接受经颅磁刺激治疗,联合组接受经颅磁刺激联合镜像视觉反馈训练。治疗前及治疗4周后,比较两组蒙特利尔认知评估(MoCA)量表评分、中国行为性忽略测试-香港版(CBIT-HK)量表评分、凯瑟琳-波哥量表(CBS)评分及改良Barthel指数(MBI)评分。结果 治疗后,联合组MoCA评分、CBIT-HK评分、MBI评分均高于对照组(P<0.05),CBS评分低于对照组(P<0.05)。结论 经颅磁刺激联合镜像视觉反馈训练能更好地改善脑卒中后偏侧忽略。Objective To explore the clinical efficacy of transcranial magnetic stimulation combined with mirror visual feedback training system in the treatment of unilateral neglect after stroke.Methods A total of 60 post-stroke unilateral neglect patients in the rehabilitation medicine department of Shanghai Tongren Hospital from January 2021 to December 2022 were selected as the study objects.They were divided into control group and combined group by random number table method,with 30 cases in each group.The control group received transcranial magnetic stimulation therapy,and the combined group received transcranial magnetic stimulation combined mirror visual feedback training.Montreal cognitive assessment(MoCA)scale score,Chinese behavioral inattention test-Hong Kong(CBIT-HK)score,Catherine-Bogo Scale(CBS),and Modified Barthel index(MBI)score were compared between the two groups before treatment and 4 weeks after treatment.Results After treatment,MoCA score,CBIT-HK score and MBI score in combined group were higher than those in control group(P<0.05),the CBS score of the combined treatment group was lower than that of the magnetic stimulation group(P<0.05).Conclusion Transcranial magnetic stimulation combined with mirror visual feedback training can better improve post-stroke unilateral neglect.

关 键 词：脑卒中 偏侧忽略 经颅磁刺激 镜像视觉反馈 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]