经颅磁刺激仪辅助治疗脑卒中后轻度认知功能障碍进展

Progress of Transcranial Magnetic Stimulator in Auxiliary Treatment of Patients with Mild Cognitive Disorder after Stroke

近年来随着我国人口年龄结构的改变,高龄人群占比增多导致脑卒中的发病率呈现上升趋势。脑卒中后患者神经功能受损,同时还易导致偏瘫、认知功能障碍、吞咽功能障碍等后遗症发生。认知功能障碍是脑卒中后常见后遗症之一,典型表现为智力活动迟缓、记忆力、计算能力、逻辑能力下降及语言功能受损,继而造成患者日常生活活动能力(ADL)障碍、社交障碍等。重复经颅磁刺激(rTMS)为一种神经电生理技术,rTMS技术治疗轻度认知功能障碍已有大量临床报道。该文对国内外应用rTMS治疗脑卒中后认知功能障碍的报道进行整理。

In recent years,with the changes in the age structure of the population in my country,the increase in the proportion of the elderly population has led to an increasing trend in the incidence of stroke.The neurological function of patients after stroke is impaired,and it is also easy to cause sequelae such as hemiplegia,cognitive dysfunction,and swallowing dysfunction.Cognitive dysfunction is one of the common sequelae after stroke.The typical manifestations are mental retardation,memory,numeracy,logic abilities,and language function impairment,which in turn causes the patient's activities of daily living(ADL)disorder,social disorder,etc.Repetitive transcranial magnetic stimulation(rTMS)is a neuroelectrophysiological technique,and there have been a large number of clinical reports on the use of rTMS technique to treat mild cognitive impairment.This article collates reports on the application of rTMS in the treatment of cognitive dysfunction after stroke at home and abroad.