| 王雅楠,孙乐影,刘田,王凤丽,周洁,高修明,项洁.经颅直流电刺激改善偏侧空间忽略及运动功能的疗效观察[J].中国康复,2019,34(8):403-406 |
| 经颅直流电刺激改善偏侧空间忽略及运动功能的疗效观察 |
| Effect of transcranial direct current stimulation on unilateral spatial neglect and motor functions in patients with cerebral infarctions |
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| DOI： |
| 中文关键词: 偏侧空间忽略 经颅直流电刺激 脑梗死 康复 |
| 英文关键词: unilateral spatial neglect transcranial direct current stimulation cerebral infarction rehabilitation |
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| 中文摘要: |
| 目的：探讨经颅直流电刺激（tDCS）对脑梗死后偏侧空间忽略（USN）及运动功能康复的临床疗效。方法：选取30例脑梗死后偏侧空间忽略患者，随机分为常规组和tDCS组各15例，２组均给予常规康复训练，tDCS组增加tDCS治疗，每周治疗5d，共4周。治疗前后分别采用直线二等分试验（LBT）、Albert线段划消试验（AT）、简式Fugl Meyer运动功能评分（FMA）、改良Barthel指数评分（MBI）和MMSE量表评定患者功能。结果：治疗后， 2组LBT和AT评分均较治疗前明显降低（均P＜0.01）；且tDCS组显著低于常规组(P＜0.01)。2组的FMA、MBI和MMSE评分均明显高于组内治疗前 (均P＜0.001)，且tDCS组的FMA和MBI评分显著高于常规组 (均P＜0.01)；tDCS组和常规组的MMSE评分无统计学差异。结论：tDCS可有效地改善脑梗死患者的单侧空间忽视症状，同时促进患者运动功能康复。 |
| 英文摘要: |
| Objective：To investigate the effect of transcranial direct current stimulation (tDCS) on unilateral spatial neglect and motor functions rehabilitation in patients with cerebral infarctions. Methods：Thirty patients were randomly divided into a routine treatment group (n=15), and a tDCS group (n=15). Both groups received basic routine rehabilitation therapy, and the tDCS group accepted tDCS therapy additionally (5 days per week for a total of 4 weeks). The patients in both groups were evaluated with the line bisection test (LBT), the Albert test (AT), the Fugl Meyer assessment (FMA), the modified Barthel Index (MBI) and the MMSE scale before and after treatment. Results：After treatment for 4 weeks, the LBT and AT scores in both groups were significantly lower than those before treatment (P<0.001), and the FMA and MBI scores, and MMSE scores were significantly higher than those before treatment (P<0.001). There was significant difference in LBT and AT between two groups after treatment (P<0.01). The FMA and MBI scores in the tDCS group were significantly higher than those in the routine treatment group (P<0.01), but there was no significant difference in MMSE score between two groups after treatment (P>0.05). Conclusion：The tDCS has positive effect on the unilateral spatial neglect in patients with cerebral infarctions and can promote the rehabilitation of motor function. |
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