重复经颅磁刺激联合认知康复训练治疗脑卒中后认知障碍的临床效果

Clinical effect of repetitive transcranial magnetic stimulation combined with cognitive rehabilitation training in the treatment of cognitive impairment after stroke

目的探讨重复经颅磁刺激联合认知康复训练治疗脑卒中后认知障碍的临床效果。方法抽取咸宁市中医医院2018年1月至2019年12月收治的脑卒中后认知障碍患者70例为研究对象,35例行常规药物治疗联合常规康复训练治疗者作为对照组,35例行重复经颅磁刺激联合认知康复训练治疗者作为试验组,采用Addenbrooke改良认知评估量表(ACE-R)评估两组治疗前后认知功能,采用日常生活能力量表(ADL)评估两组治疗前后日常生活能力,并比较两组整体疗效。结果试验组治疗后ACE-R总评分为(79.73±7.24)分,显著高于对照组的(60.62±9.31)分,差异有统计学意义(P<0.05);试验组治疗后ADL总评分为(17.19±3.83)分,显著低于对照组的(27.83±4.55)分,差异有统计学意义(P<0.05);试验组治疗总有效率(94.29%)显著高于对照组(77.14%),差异有统计学意义(P<0.05)。结论针对脑卒中后认知障碍患者给予重复经颅磁刺激与认知康复训练联合治疗,可促进认知功能恢复,提高患者的日常生活能力水平,增强疗效,值得推广。

Objective To explore the clinical effect of repetitive transcranial magnetic stimulation combined with cognitive rehabilitation training in the treatment of cognitive impairment after stroke.Methods A total of 70 patients with cognitive impairment after stroke admitted to Xianning Hospital of Traditional Chinese Medicine from January 2018 to December 2019 were selected as research objects,and they were divided into the control group(n=35)and the experimental group(n=35).The control group was treated with conventional drug therapy and conventional rehabilitation training,while the experimental group was treated with repetitive transcranial magnetic stimulation combined with cognitive rehabilitation training.The Addenbrooke cognitive examination-revised(ACE-R)was adopted to evaluate the cognitive function of the two groups before and after treatment,and the activity of daily living(ADL)scale was adopted to evaluate the ADL of the two groups before and after treatment.The overall efficacy of the two groups was compared.Results After treatment,the total score of ACE-R scale in the experimental group was(79.73±7.24)points,significantly higher than(60.62±9.31)points in the control group,with statistically significant difference(P<0.05).After treatment,the total score of ADL scale in the experimental group was(17.19±3.83)points,significantly lower than(27.83±4.55)points in the control group,with statistically significant difference(P<0.05).The total efficacy rate of the experimental group was 94.29%,significantly higher than 77.14%of the control group,with statistically significant difference(P<0.05).Conclusion For the patients with cognitive impairment after stroke,the treatment of repetitive transcranial magnetic stimulation combined with cognitive rehabilitation training can promote the recovery of cognitive function,improve patients'ADL and enhance their therapeutic efficacies,which is worthy of promotion.