中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2009年
8期
854-856
,共3页
重复性经颅磁刺激%颅脑损伤%认知功能%功能独立
重複性經顱磁刺激%顱腦損傷%認知功能%功能獨立
중복성경로자자격%로뇌손상%인지공능%공능독립
Repetitive transcranial magnetic stimulation%Traumatic brain injury%Cognitive function%Functional independence
目的 观察低频重复经颅磁刺激改善脑外伤患者的认知功能和功能独立的作用.方法 将60例脑损伤患者按随机数字表法分为治疗组和对照组(各30例),均给予常规治疗.治疗组在此基础上应用低频重复经颅磁刺激治疗,连续治疗5 d为1个疗程,疗程之间间隔2d,连续4个疗程.观察两组患者治疗前后Rivermead行为记忆评分(RBMT)和功能独立性评分(FIM).结果 两组患者治疗后RBMT评分(治疗组:17.72±5.69,对照组:16.86±4.82)和FIM评分(治疗组:75.19±16.55,对照组:59.86±15.27)均较治疗前(治疗组:13.97±4.37,对照组:14.25±4.51;治疗组:43.21±12.62,对照组:45.79±13.97)有明显改善,比较差异有统计学意义(P<0.05);两组治疗前后RBMT评分差值(3.68±2.06 vs 2.71±1.17)和FIM评分差值(31.86±10.89 vs 18.71±11.17)比较差异也有统计学意义(P<0.05).结论 低频重复经颅磁刺激对脑外伤患者认知功能和功能独立的改善有明显促进作用.
目的 觀察低頻重複經顱磁刺激改善腦外傷患者的認知功能和功能獨立的作用.方法 將60例腦損傷患者按隨機數字錶法分為治療組和對照組(各30例),均給予常規治療.治療組在此基礎上應用低頻重複經顱磁刺激治療,連續治療5 d為1箇療程,療程之間間隔2d,連續4箇療程.觀察兩組患者治療前後Rivermead行為記憶評分(RBMT)和功能獨立性評分(FIM).結果 兩組患者治療後RBMT評分(治療組:17.72±5.69,對照組:16.86±4.82)和FIM評分(治療組:75.19±16.55,對照組:59.86±15.27)均較治療前(治療組:13.97±4.37,對照組:14.25±4.51;治療組:43.21±12.62,對照組:45.79±13.97)有明顯改善,比較差異有統計學意義(P<0.05);兩組治療前後RBMT評分差值(3.68±2.06 vs 2.71±1.17)和FIM評分差值(31.86±10.89 vs 18.71±11.17)比較差異也有統計學意義(P<0.05).結論 低頻重複經顱磁刺激對腦外傷患者認知功能和功能獨立的改善有明顯促進作用.
목적 관찰저빈중복경로자자격개선뇌외상환자적인지공능화공능독립적작용.방법 장60례뇌손상환자안수궤수자표법분위치료조화대조조(각30례),균급여상규치료.치료조재차기출상응용저빈중복경로자자격치료,련속치료5 d위1개료정,료정지간간격2d,련속4개료정.관찰량조환자치료전후Rivermead행위기억평분(RBMT)화공능독립성평분(FIM).결과 량조환자치료후RBMT평분(치료조:17.72±5.69,대조조:16.86±4.82)화FIM평분(치료조:75.19±16.55,대조조:59.86±15.27)균교치료전(치료조:13.97±4.37,대조조:14.25±4.51;치료조:43.21±12.62,대조조:45.79±13.97)유명현개선,비교차이유통계학의의(P<0.05);량조치료전후RBMT평분차치(3.68±2.06 vs 2.71±1.17)화FIM평분차치(31.86±10.89 vs 18.71±11.17)비교차이야유통계학의의(P<0.05).결론 저빈중복경로자자격대뇌외상환자인지공능화공능독립적개선유명현촉진작용.
Objective To observe the effect of low-frequency repetitive transcranial magnetic stimulation in improving the memory function and quality of life of patients with traumatic brain injury. Methods Sixty patients with brain injury were randomly divided into the treatmem group and control group. The patients in the control group received conventional treatments (including medications, acupuncture and exercise training), and those in the treatment group were given additional low-frequency repetitive transcranial magnetic stimulation treatment. Scores of the Rivermead Behavioral Memory Test (RBMT) and Functional independence Measure (FIM) were recorded before and after the treatments and compared between the two groups. Results The patients in both of the groups showed significant improvements in RBMT and FIM scores after the treatments (P<0.05). The improvements in RBMT and FIM scores after the treatments differed significantly between the two groups (P<0.05). Conclusion Low-frequency repetitive transcranial magnetic stimulation can significantly improve the cognitive function and functional independence of patients with traumatic brain injury.
