CAJ | 학술논문

目的：观察低频重复经颅磁刺激(rTMS)刺激右侧前额叶背外侧皮层对脑卒中患者认知及记忆功能的影响。方法脑卒中后记忆功能障碍患者40例，随机分为磁刺激组(n=19)和假刺激组(n=21)，分别接受真假1 Hz rTMS治疗。所有患者在治疗前、治疗结束后和治疗结束2个月后分别用蒙特利尔认知评估量表(MoCA)中文版、洛文斯顿作业疗法认知评估(LOTCA)及行为记忆量表(RBMT)进行测评。结果两组在治疗后及治疗结束2个月时，MoCA、LOTCA及RBMT评分均有显著升高(P<0.001)，磁刺激组改善程度明显优于假刺激组(P<0.01)。结论低频rTMS可以改善脑卒中后认知及记忆功能障碍。
목적：관찰저빈중복경로자자격(rTMS)자격우측전액협배외측피층대뇌졸중환자인지급기억공능적영향。방법뇌졸중후기억공능장애환자40례，수궤분위자자격조(n=19)화가자격조(n=21)，분별접수진가1 Hz rTMS치료。소유환자재치료전、치료결속후화치료결속2개월후분별용몽특리이인지평고량표(MoCA)중문판、락문사돈작업요법인지평고(LOTCA)급행위기억량표(RBMT)진행측평。결과량조재치료후급치료결속2개월시，MoCA、LOTCA급RBMT평분균유현저승고(P<0.001)，자자격조개선정도명현우우가자격조(P<0.01)。결론저빈rTMS가이개선뇌졸중후인지급기억공능장애。
Objective To investigate the effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) on post-stroke dis-function of cognition and memory by stimulating right dorsolateral prefrontal cortex. Methods 40 patients were randomized into the rTMS (n=19) and sham (n=21) groups. The function of cognition and memory were measured before treatment, after treatment and 2 months post-treatment with Montreal Cognitive Assessment (MoCA), Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) and Riv-ermead Behaviour Memory Test (RBMT). Results All scores improved in both groups after treatment and 2 months post-treatment (P<0.001), and improved more in the rTMS group than in the sham group (P<0.01). Conclusion Low-frequency rTMS may improve the func-tion of memory and cognition after stoke.