摘要
目的探讨经颅直流电刺激(tDCS)联合康复训练在脑卒中后认知障碍(PSCI)患者中的应用效果.方法选取该院2021年3月—2023年3月收治的64例PSCI患者为研究对象,采用随机数字表法将其分为对照组与观察组.对照组(n=32)采用常规康复训练干预,观察组(n=32)在常规康复训练基础上采用tDCS干预,两组均持续干预观察4周.比较两组患者的认知功能及生活质量.结果干预前,两组患者蒙特利尔认知评估量表(MoCA)评分比较,差异无统计学意义(P>0.05);干预后,两组MoCA评分均高于干预前,且观察组MoCA评分中的地点定向、时间定向、注意力、记忆力、执行能力、视空间、语言及总评分分别为(3.14±0.35)分、(3.17±0.38)分、(3.02±0.41)分、(3.18±0.24)分、(4.01±0.35)分、(3.98±0.30)分、(2.95±0.36)分、(21.17±2.15)分,均高于对照组,差异有统计学意义(P<0.05).干预前,两组患者脑卒中生活质量量表(SS-QOL)评分比较,差异无统计学意义(P>0.05);干预后,两组SS-QOL评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).结论PSCI患者经tDCS联合康复训练干预后,能够促进患者认知功能改善,促进患者生活质量的改善.
Objective To explore the application effect of transcranial direct current stimulation(tDCS)combined with rehabilitation training in patients with post stroke cognitive impairment(PSCI).Methods 64 patients with PSCI who were admitted to the hospital from March 2021 to March 2023 were selected as the study objects,and were divided into a control group and an observation group by random number table method.The control group(n=32)received routine rehabilitation training intervention,and the observation group(n=32)received tDCS intervention on the basis of routine rehabilitation training.Both groups were continuously observed for 4 weeks.The cognitive function and quality of life of the two groups were compared.Results Before intervention,there was no significant difference in Montreal Cognitive Assessment scale(MoCA)scores between the two groups(P>0.05);after intervention,MoCA scores in both groups were higher than before intervention.In addition,the MoCA scores of the observation group were(3.14±0.35)points,(3.17±0.38)points,(3.02±0.41)points,(3.18±0.24)points,(4.01±0.35)points,(3.98±0.30)points,(2.95±0.36)points and(21.17±2.15)points,which were higher than those in the control group,and the differencs were statistically significant(P<0.05).Before intervention,there was no significant difference in Stroke Specific Quality of Life scale(SS-QOL)scores between the two groups(P>0.05);after intervention,SSQOL scores in both groups were higher than before intervention,and observation group was higher than control group,the difference was statistically significant(P<0.05).Conclusion After tDCS combined with rehabilitation training intervention,PSCI patients can improve their cognitive function and quality of life.
作者
邵雅楠
SHAO Yanan(Department of Rehabilitation Medicine,The Second People's Hospital of Nantong,Nantong Jiangsu,226002,China)
出处
《反射疗法与康复医学》
2023年第15期71-74,共4页
Reflexology And Rehabilitation Medicine
基金
南通市卫生健康委员会科研课题(QB2021009)。
关键词
脑卒中
认知障碍
经颅直流电刺激
康复训练
认知功能
生活质量
Stroke
Cognitive impairment
Transcranial direct current stimulation
Rehabilitation training
Cognitive function
Quality of Life
