摘要
目的研究左背外侧前额叶阳极经颅直流电刺激(tDCS)联合康复训练对脑卒中后肢体运动障碍患者心理状态,运动功能的影响。方法选取本院2020年8月~2022年8月期间110例脑卒中后肢体运动障碍患者随机分组,对照组55例给予常规康复训练,观察组55例联合左背外侧前额叶阳极tDCS,对比两组患者运动功能,认知功能和心理状态。结果观察组治疗后,上,下肢功能评分均高于对照组(P<0.05);观察组治疗后,神经功能缺损评分(NIHSS)低于对照组,蒙特利尔认知量表(MoCA)评分高于对照组(P<0.05);观察组治疗后,汉密尔顿抑郁量表(HAMD)评分,汉密尔顿焦虑量表(HAMA)评分均低于对照组(P<0.05)。结论左背外侧前额叶阳极tDCS联合康复训练能够有效改善脑卒中后肢体运动障碍患者运动功能,减轻焦虑、抑郁情绪,提高认知功能。
Objective To study the effects of left dorsolateral prefrontal anode transcranial direct current(tDCS)stimulation combined with rehabilitation training on the mental state and motor function of patients with limb movement disorders after stroke.Methods A total of 110 patients with limb movement disorder after stroke in our hospital from August 2020 to August 2022 were randomly assigned.55 patients in the control group were given routine rehabilitation training,and 55 patients in the observation group were combined with left dorsolateral prefrontal anode tDCS.Motor function,cognitive function and mental state were compared between the two groups.Results After treatment,the functional scores of upper and lower limbs in observation group were higher than those in control group(P<0.05).After treatment,the neurological deficit score(NIHSS)in the observation group was lower than that in the control group,and the Montreal Cognitive Scale(MoCA)score was higher than that in the control group(P<0.05).After treatment,the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)in the observation group were lower than those in the control group(P<0.05).Conclusion Left dorsolateral prefrontal anode tDCS combined with rehabilitation training can effectively improve motor function,reduce anxiety and depression,and improve cognitive function in patients with limb movement disorders after stroke.
作者
龙淑媛
叶经香
王桂瑜
LONG Shuyuan;YE Jingxiang;WANG Guiyu(Hainan Provincial Geriatric Hospital,Haikou 571100,China)
出处
《国际精神病学杂志》
2024年第4期1230-1232,1236,共4页
Journal Of International Psychiatry
基金
海南省自然科学项目(编号:818MS163)。
关键词
脑卒中
焦虑
运动功能
电刺激
Stroke
Anxiety
Motor function
Electrical stimulation
