经颅直流电刺激对脑卒中患者认知功能的影响

Effect of transcranial direct current stimulation on cognitive function of stroke patients

摘要:

目的 探讨经颅直流电刺激（tDCS）对脑卒中患者认知功能的影响。方法 选取2017年1月—2017年 6月上海市同仁医院收治的脑卒中患者30例作为研究对象。采用随机数字表法，将患者分为治疗组和对照组，每组 15例。治疗组患者给予tDCS治疗，对照组患者给予tDCS假刺激。对两组患者治疗前后蒙特利尔认知评估量表 （MoCA）评分、Fugl-Meyer评分以及改良的Barthel指数进行比较分析。结果 与对照组治疗后比较，治疗组治疗 后MoCA总评分、执行力、记忆力、定向力、注意力以及语言命名能力等各项评分，Fugl-Meyer评分以及改良的 Barthel指数升高（P?<0.05）。与治疗前比较，治疗组患者治疗后MoCA总评分、执行力、记忆力、定向力、注意力 以及语言命名能力等各项评分，Fugl-Meyer评分以及改良的Barthel指数升高（P?<0.05）。结论 tDCS在脑卒中患者认知功能康复治疗中有效。

Abstract:

Objective To investigate the effect of transcranial direct current stimulation on cognitive function of stroke patients. Methods From January 2017 to June 2017, 30 stroke patients were selected in our hospital as clinical subjects. Using the random number table method, the patients were divided into treatment group and control group, 15 cases in each group. The patients in the treatment group were treated with transcranial direct current stimulation. The patients in the control group were treated with fake stimulation. The MoCA scores, Fugl-Meyer scores, and improved Barthel indices of the patietns in two groups before and after treatment were compared. Results Compared with stroke patients in control group, the stroke patients in treatment group after treatment, the MoCA total score, scores of executive power, memory, orientation, attention and language naming, Fugl-Meyer score and improved Barthel index were increased significantly (P?