摘要
认知障碍是脑卒中患者最常见的并发症之一。它不仅严重影响了患者的生存质量,而且增加了再次患病的风险。非侵入性脑刺激技术(NIBS)是一种安全性高、疗效好、副作用少的新型康复技术,在脑卒中后认知障碍(PSCI)的治疗中具有良好的应用前景,其中具有代表性的经颅磁刺激(rTMS)和经颅直流电刺激(tDCS)在目前的临床应用中已显示出良好的疗效,但对其治疗方案和疗效尚无共识。因此,本文就rTMS和tDCS治疗PSCI的作用机制、治疗参数和临床应用进行综述,以期为今后的临床研究和应用提供参考。
Cognitive impairment is one of the most common complications of stroke patients.It not only seriously affects the quality of life of patients,but also increases the risk of re-illness.Non-invasive brain stimulation(NIBS)is a new type of rehabilitation technology with high safety,good efficacy and less side effects,and has a good application prospect in the treatment of post-stroke cognitive impairment(PSCI).Among them,the representative transcranial magnetic stimulation(rTMS)and transcranial direct current stimulation(tDCS)have shown good efficacy in the current clinical application,but there is no consensus on its treatment plan and efficacy.Therefore,this article reviews the mechanism,treatment parameters and clinical application of rTMS and tDCS in the treatment of PSCI,in order to provide reference for future clinical research and application.
作者
张瑞
武亮
胡安明
蔡虹菲
武晟竹
ZHANG Rui;WU Liang;HU Anming;CAI Hongfei;WU Shengzhu(Tianjin University of Sport,Tianjin 301617;Beijing Xiaotangshan Hospital,Beijing 102211;Beijing Tiantan Hospital,Beijing 100070,China)
出处
《中国老年保健医学》
2022年第4期115-118,共4页
Chinese Journal of Geriatric Care
基金
北京市百千万人才工程(编号:2019A35)。
关键词
脑卒中
非侵入性脑刺激
认知障碍
重复性经颅磁刺激
经颅直流电刺激
Stroke
Cognitive impairment
Repetitive transcranial magnetic stimulation
Transcranial direct current stimulation
Non-invasive brain stimulation
