摘要： 目的 探讨重复经颅磁刺激（rTMS）联合头针治疗卒中后认知障碍（PSCI）患者的疗效。方法 回顾性分析中国医科大学附属盛京医院康复中心2021年1月至2022年3月收治的PSCI患者60例，分为对照组（头针治疗，29例）和观察组（rTMS联合头针治疗，31例）。比较2组患者治疗前后简易精神状态检查量表（MMSE）、蒙特利尔认知评估量表（MoCA）、Rivermead行为记忆测验（RBMT）、改良Barthel指数（MBI）评定量表、失眠严重程度指数量表（ISI）评分，评估患者认知功能、睡眠状态和日常生活能力水平。结果 治疗后，2组患者MMSE、MoCA、RBMT、MBI评分均较治疗前明显提高（P < 0.05） ，ISI评分较治疗前明显降低（P < 0.05），表明患者的认知功能、睡眠状态和日常生活能力水平均较治疗前改善，且观察组MMSE评分、MoCA的定向力评分和MBI评分改善较对照组更为明显（P < 0.05）。结论 rTMS联合头针治疗可改善卒中后认知障碍，提高患者睡眠和生活质量。

重复经颅磁刺激联合头针治疗卒中后认知障碍的疗效

刘旭佳, 朱璐, 徐阳, 刘学勇

中国医科大学附属盛京医院康复中心, 沈阳 110134

收稿日期:2022-10-10出版日期:2023-02-28发布日期:2023-02-04
通讯作者:刘学勇E-mail:liuxy@sj-hospital.org
作者简介:刘旭佳(1991-),女,医师,硕士.
基金资助:辽宁省自然科学基金（10100149）


关键词: 重复经颅磁刺激, 头针, 卒中后认知障碍
Abstract: Objective To observe the effect of repetitive transcranial magnetic stimulation (rTMS) combined with scalp acupuncture in patients with post-stroke cognitive impairment. Methods We retrospectively analyzed the medical records of 60 patients with post-stroke cognitive impairment, who were admitted to the Department of Rehabilitation, Shengjing Hospital, China Medical University from January 2021 to March 2022. The patients were divided into a control group (received scalp acupuncture treatment, n=29) and an observation group (received rTMS combined with scalp acupuncture treatment, n=31). The scores of Mini-mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Rivermead Behavioural Memory Test (RBMT), modified Barthel index (MBI), and insomnia severity index (ISI) before and after the treatment were compared between the two groups, and the levels of cognitive function, sleep state, and daily living ability were evaluated. Results In both groups, the scores of MMSE, MoCA, RBMT, and MBI were significantly higher and those of ISI were significantly lower after treatment compared to before treatment (P < 0.05), indicating that the levels of cognitive function, sleep state, and daily living ability after treatment were significantly improved (P < 0.05). Additionally, the improvements in the scores of MMSE, orientation in MoCA, and MBI after treatment were significantly greater in the observation group than in the control group (P < 0.05). Conclusion rTMS combined with scalp acupuncture can improve cognitive impairment, quality of sleep, and quality of life after stroke.
Key words: repetitive transcranial magnetic stimulation, scalp acupuncture, post-stroke cognitive impairment
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