CAJ | 학술논문

目的：探讨痴复康口服液、重复性经颅磁刺激以及二者结合治疗脑卒中后前瞻性记忆障碍的临床效果。方法将2012年3月-2013年12月我院康复科及脑病中心住院患者随机分为3组。A组(18例)：痴复康口服液加重复性经颅磁刺激治疗组；B组(20例)：痴复康口服液治疗组；C 组(20例)：阴性对照组。3组患者按上述治疗方案治疗4周。采用 Rivermead 行为记忆测试(RBMT)和剑桥前瞻性记忆测试量表(CAMPROMPT)评估患者治疗前后前瞻性记忆功能的改变。结果 A组和B组治疗后RBMT评分和CAMPROMPT评分均有提高(P<0.05)；C组治疗前后 RBMT 评分和 CAMPROMPT 评分无明显改变。治疗前3组RBMT评分和CAMPROMPT评分组间比较差异无统计学意义。治疗后3组 RBMT评分和CAMPROMPT组间比较差异有统计学意义(P<0.05),A组提高更明显。结论痴复康口服液或重复性经颅磁刺激均能改善患者脑卒中后前瞻性记忆障碍,痴复康口服液联合重复性经颅磁刺激治疗效果更明显。
목적：탐토치복강구복액、중복성경로자자격이급이자결합치료뇌졸중후전첨성기억장애적림상효과。방법장2012년3월-2013년12월아원강복과급뇌병중심주원환자수궤분위3조。A조(18례)：치복강구복액가중복성경로자자격치료조；B조(20례)：치복강구복액치료조；C 조(20례)：음성대조조。3조환자안상술치료방안치료4주。채용 Rivermead 행위기억측시(RBMT)화검교전첨성기억측시량표(CAMPROMPT)평고환자치료전후전첨성기억공능적개변。결과 A조화B조치료후RBMT평분화CAMPROMPT평분균유제고(P<0.05)；C조치료전후 RBMT 평분화 CAMPROMPT 평분무명현개변。치료전3조RBMT평분화CAMPROMPT평분조간비교차이무통계학의의。치료후3조 RBMT평분화CAMPROMPT조간비교차이유통계학의의(P<0.05),A조제고경명현。결론치복강구복액혹중복성경로자자격균능개선환자뇌졸중후전첨성기억장애,치복강구복액연합중복성경로자자격치료효과경명현。
Objective To explore effect of Chifukang oral liquid(COL)and repetitive transcranial magnetic stimulation therapy on prospective memory impairment post stroke.Methods All patients matched the inclusion criteria were randomly divided into 3 groups:Group A (n=18)treated with repetitive transcranial magnetic stimulation with COL,group B (n=20)treated with COL,and group C (n=20)treated with repetitive transcranial magnetic stimulation.The effects were evaluated by the Cambridge prospective memory test scale (CAMPROMPT)and Score of Rivermead Behavioral Memory Test (RBMT)before and after treatment.Results After treatment,RBMT and CAMPROMPT scores in group A and group B were improved statistically (P<0.05),comparing to that in control group.RBMT and CAMPROMPT scores were no statistically significant among the three groups before treatment (P>0.05). After treatment,the differences were statistically significant (P<0.05).Conclusion COL,repetitive transcranial magnetic stimula-tion,and combined together could improve prospective memory in patients post stroke.