重复经颅磁刺激治疗脑卒中后认知障碍的研究进展

Research Progress of Repetitive Transcranial Magnetic Stimulation in Treatment of Cognitive Impairment after Stroke

脑卒中是一种中老年人常见的急性脑血管疾病,危险系数高且并发症多。其中,脑卒中后认知障碍(Post Stroke Cognitive Impairment, PSCI)是脑卒中幸存者常见的并发症之一,不仅会使患者的生存时间降低,还会严重影响患者的生活水平及社会参与能力,并增加致残率和死亡率的风险。重复经颅磁刺激(Repetitive Transcranial Magnetic Stimulation, rTMS)通过脉冲磁场对中枢神经系统产生作用,进而影响神经电活动和脑内代谢,近年被逐渐应用于PSCI的治疗,但其对PSCI的治疗参数选择尚未有统一的标准,因此本文就目前各类治疗方案进行总结。

Stroke is a common acute cerebrovascular disease in middle-aged and elderly people,with high risk factor and many complications.Among them,post stroke cognitive impairment(PSCI)is one of the common complications of stroke survivors.It not only reduces the survival time of patients,but also seriously affects the living standards and social participation ability of patients,and increases the risk of disability and mortality.Repetitive transcranial magnetic stimulation(rTMS)is a kind of effect on the central nervous system through pulsed magnetic field,which affects nerve electrical activity and brain metabolism.In recent years,it has been gradually applied to the treatment of PSCI,but there is no uniform standard for the selection of treatment parameters for PSCI.Therefore,this paper summarizes the current treatment options.