重复经颅磁刺激对脑卒中患者认知功能和心理状态影响

目的观察重复经颅磁刺激对脑卒中患者认知功能和心理状态的影响。方法60例脑卒中患者随机分为对照组和观察组。对照组29例,给予常规康复治疗;观察组31例,在常规康复治疗基础上,联合重复经颅磁刺激治疗,均治疗6周。分别采用美国国立卫生研究院卒中.量表(NIHSS)、简易智力状态检查表(MMSE)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价治疗前后两组患者的认知功能、心理状态。结果两组患者治疗后NIHSS评分、HAMA评分、HAMD评分均较治疗前降低(P<0.05),观察组改善程度优于对照组(P<0.05)。两组患者治疗后MMSB评分均较治疗前升高(P<0.05),观察组改善程度优于对照组(P<0.05)。结论重复经颅磁刺激能够有效改善脑卒中患者认知功能,缓解患者抑郁和焦虑症状。

Objective To observe the effect of repeated transcranial magnetic stimulation on cognitive function and psychology in stroke patients.Methods Sixty stroke patients were randomly divided into two groups.Twenty-nine patients in control group received conventional rehabilitation treatment for six weeks,while thirty-one patients m observation group added repetitive transcranial magnetic stimulation on the basis of the control group for six weeks.National Institute of Health stroke scale(NIHSS),Mini-Mental State Examination(MMSE),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)were used to assess the cognitive function,anxiety and depression.Results The scores of NIHSS,HAMA,HAMD in both groups were significantly lower than those before treatment(P<0.05).and the improvement of the observation group was significantly better than that of the control group(P<0.05).The score of MMSE in the two groups after treatment was significantly higher than that before treatment(P<0.05),and the improvement degree of the observation group was significantly better than that of the control group(P<0.05).Conclusion Repetitive transcranial magnetic stimulation can effectively improve the cognitive function of stroke patients and relieve the depression and anxiety symptoms.