摘要
目的探讨重复经颅磁刺激联合血栓通治疗缺血性脑卒中(IS)后认知功能障碍的临床效果。方法回顾性分析2024年4月至2025年3月本院收治的100例IS后认知功能障碍患者的临床资料。将患者分为对照组与研究组。对照组采用血栓通治疗,研究组在对照组基础上采用重复经颅磁刺激治疗。比较两组的治疗效果、认知功能评分、血流动力学指标、巴氏指数(BI)、脑卒中专用生活质量量表(SS-QOL)评分。结果研究组的治疗总有效率为94.00%,高于对照组的70.00%(P<0.05)。治疗后,研究组的MMSE、MoCA评分高于对照组(P<0.05)。治疗后,研究组的Vm、Qm高于对照组,RI低于对照组(P<0.05)。治疗后,研究组的BI、SS-QOL评分高于对照组(P<0.05)。结论重复经颅磁刺激联合血栓通治疗IS后认知功能障碍效果明显,可有效改善脑动脉血流动力学指标,恢复脑血流灌注,提升患者日常生活能力和生活质量水平。
J Objective To explore the clinical effect of repetitive transcranial magnetic stimulation combined with Xueshuantong in the treatment of cognitive dysfunction after ischemic stroke.Methods The clinical data of 100 patients with cognitive dysfunction after ischemic stroke admitted to our hospital from April 2024 to March 2025 were retrospectively analyzed.The patients were divided into control group and study group.The control group was treated with Xueshuantong,while the study group was treated with repetitive transcranial magnetic stimulation on the basis of the control group.The therapeutic effect,cognitive function scores,hemodynamic indicators,Barth index(BI),and stroke-specific quality of life scale(SS-QOL)score were compared between the two groups.Results The total effective rate of treatment in the study group was 94.00%,higher than 70.00%in the control group(P<0.05).After treatment,the MMSE and MoCA scores of the study group were higher than those of the control group(P<0.05).After treatment,the Vm and Qm of the study group were higher than those of the control group,while RI was lower than that of the control group(P<0.05).After treatment,the BI and SS-QOL scores of the study group were higher than those of the control group(P<0.05).Conclusions Repetitive transcranial magnetic stimulation combined with Xueshuantong has significant effect in the treatment of cognitive dysfunction after ischemic stroke,which can effectively improve the hemodynamic indicators of cerebral arteries,restore cerebral blood perfusion,and enhance the daily living ability and quality of life of patients.
作者
雷智雯
赵彦超
康帅迪
李涛
LEI Zhiwen;ZHAO Yanchao;KANG Shuaidi;LI Tao(General Medical Department,Xuchang People's Hospital,Xuchang 461000,China;Department of Rehabilitation Medicine,Xuchang People's Hospital,Xuchang 461000,China;Department of Neurology,Xuchang Central Hospital,Xuchang 461000,China)
出处
《临床医学工程》
2025年第9期935-938,共4页
Clinical Medicine & Engineering
基金
河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20200979)。
关键词
重复经颅磁刺激
血栓通
缺血性脑卒中
认知功能障碍
Repetitive transcranial magnetic stimulation
Xueshuantong
Ischemic stroke
Cognitive dysfunction
作者简介
雷智雯(1988-),女,河南许昌人,本科学历,主治医师,研究方向:心脑血管疾病的诊断与防治。
