摘要
目的 评价重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)对基底节区脑出血后遗症期患者执行功能障碍的治疗效果。方法 收集基底节区脑出血后遗症期存在执行功能障碍患者1例,进行4周rTMS治疗。应用蒙特利尔认知评估(Montreal cognitive assessment,MoCA)、数字广度(digit span test,DST)、定步调听觉连续加法测验(paced auditory serial addition task,PASAT)在rTMS治疗前、治疗2周后和治疗4周后评估患者的认知和执行功能。结果 经rTMS治疗2周后,MoCA总分、MoCA(视空间与执行功能部分)、DST、PASAT(3 s)得分较前提高。经rTMS治疗4周后,MoCA(视空间与执行功能部分)、CTT、PASAT得分均较前一次评估进步。结论 高频rTMS可以改善基底节区脑出血后遗症期患者的执行功能。
Objective To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on executive dysfunction in chronic stroke patient with basal ganglia hemorrhage. Methods The patient received a period of 4 weeks rTMS treatment.The cognition and executive function were evaluated using Montreal Cognitive Assessment (MoCA),Digit Span Test (DST) and Paced Auditory Serial Addition Task (PASAT) before treatment,2 weeks after treatment and 4 weeks after treatment. Results After 2 week treatment of rTMS,the patient made progress in tests including MoCA,DST and PASAT (3s speed).Moreover,tests including MoCA (Visuospatial/Executive),CTT and PASAT were improved after 4 week treatment of rTMS. Conclusion High frequency rTMS can improve executive dysfunction in chronic stroke patient with basal ganglia hemorrhage.
作者
邹淑怡
唐志明
李鑫
安德连
曾妍
曾佩珊
温红梅
ZOU Shuyi;TANG Zhiming;LI Xin;AN Delian;ZENG Yan;ZENG Peishan;WEN Hongmei(Department of Rehabilitation,the Fifth Affiliated Hospital,Sun Yat-sen University,Zhuhai 519000,China;Department of Rehabilitation,Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510000,China)
出处
《中国实用神经疾病杂志》
2019年第8期905-909,共5页
Chinese Journal of Practical Nervous Diseases
关键词
脑卒中
后遗症期
重复经颅磁刺激
执行功能
认知功能
Stroke
Chronic phase
Repetitive transcranial magnetic stimulation
Executive function
Cognitive function
