目的 研讨重复经颅磁刺激(Repeat Transcranial Magnetic Stimulation,rTMS)疗法在缺血性脑卒中(Ce-rebral Ischemic Stroke,CIS)康复治疗中的应用及对患者认知功能的影响.方法 简单随机选取2021年3月—2023年10月福建中医药大学附属康复医院收治的60例CIS患者为研究对象,根据随机数字表法分为两组,各30例,对照组予以常规康复治疗,观察组在对照组的基础上予以rTMS疗法干预,比较两组不同治疗阶段的认知功能、肢体活动功能以及自主生活能力.结果 治疗后,观察组洛文斯顿认知功能评估量表(Lowen-stein Cognitive Function Assessment Scale,LOTCA)各评分项(定向、知觉、视运动组织以及思维运作)得分以及总分均高于对照组,差异有统计学意义(P均<0.05).治疗后,观察组运动评分量表(Fugl-Meyer Assessment,FMA)中的上、下肢评分项得分均高于对照组,差异有统计学意义(P均<0.05).治疗后,观察组改良巴氏指数(Modified Barthel index,MBI)得分为(71.28±6.82)分,高于对照组的(65.98±7.52)分,差异有统计学意义(t=2.859,P=0.005).结论 在CIS康复治疗中辅用rTMS疗法,能够更有效改善患者的认知功能以及肢体活动功能,促进其自主生活能力恢复.
Application of rTMS Therapy in Ischemic Stroke Rehabilitation and Its Ef-fect on Cognitive Functions
Objective To investigate the application of repeat transcranial magnetic stimulation(rTMS)therapy in the rehabilitation treatment of cerebral ischemic stroke(CIS)and its effect on cognitive function of patients.Methods Sixty cases of CIS patients admitted to the Rehabilitation Hospital affiliated to Fujian University of Traditional Chi-nese Medicine from March 2021 to October 2023 were simple randomly selected as study objects,and were divided into two groups of 30 cases each according to the random number table method,the control group was treated with con-ventional rehabilitation therapy,and the observation group was intervened with rTMS therapy on the basis of the con-trol group.The cognitive function,limb activity function and independent living ability of the two groups were com-pared at different stages of treatment.Results After treatment,the scores of the Lowenstein Cognitive Function Assess-ment Scale(LOTCA)in the observation group were higher than those of the control group in terms of each score item(orientation,perception,visuomotor organization,and functioning of the mind),as well as the total scores,and the dif-ferences were statistically significant(all P<0.05).After the treatment,the scores of upper and lower limbs in Fugl-Meyer Assessment(FMA)were higher than those of the control group,and the differences were statistically significant(both P<0.05).After treatment,the Modified Barthel Index(MBI)score of the observation group was(71.28±6.82)points,which was higher than that of the control group(65.98±7.52)points,and the difference was statistically signifi-cant(t=2.859,P=0.005).Conclusion rTMS therapy in the rehabilitation treatment of CIS can more effectively improve the cognitive function and limb activity function of patients,and promote the recovery of independent living ability.
Cerebral ischemic strokeRepetitive transcranial magnetic stimulation therapyCognitive functionLimb activity function
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