| 房 辉,高芳兰,苏 彬,任彩丽,江钟立.经颅直流电双侧刺激对脑卒中患者视空间障碍的疗效观察[J].中国康复医学杂志,2022,(6):743~749 |
| 经颅直流电双侧刺激对脑卒中患者视空间障碍的疗效观察 点此下载全文 |
| 房 辉 高芳兰 苏 彬 任彩丽 江钟立 |
| 南京医科大学附属逸夫医院，江苏省南京市，211100 |
| 基金项目：国家青年自然科学基金项目（81501949） |
| DOI：10.3969/j.issn.1001-1242.2022.06.004 |
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| 摘要： |
| 摘要
目的：探讨经颅直流电双侧刺激（tDCS）联合康复训练对脑卒中视空间障碍的作用及疗效评估指标的可行性。
方法：40例脑卒中后视空间障碍患者分为治疗组（n=20）和对照组(n=20)，治疗组康复训练同步tDCS刺激，对照组康复训练同步tDCS假刺激。分别于治疗前、治疗4周和8周后，采用画钟试验(CDT)、韦氏成人智力量表的木块试验(WAIS-BD)、线方向判断测试（JLO）、改良Barthel指数（MBI）评定疗效，并分析JLO>18为症状改善的早期指标。
结果：治疗4周后，治疗组CDT、WAIS-BD、JLO、MBI评分均较治疗前显著提高（P<0.05）。治疗8周后，两组CDT、WAIS-BD、JLO、MBI评分均较治疗前显著提高（P<0.05）。治疗组4周后CDT、JLO评分及8周后CDT、WAIS-BD、JLO、MBI评分均显著高于对照组(P<0.05）。治疗前后两组JLO与WAIS-BD、CDT、MBI呈显著相关（P<0.05）。治疗组8周后症状改善率（JLO>18）显著高于对照组（P<0.05）。
结论：tDCS双侧刺激联合康复训练有效改善脑卒中患者视空间障碍，JLO>18分可作为视空间障碍症状改善的早期评价指标。 |
| 关键词：经颅直流电刺激 视空间障碍 画钟试验 韦氏成人智力量表的木块试验 线方向判断测试 |
| The effect of dual transcranial direct current stimulation on visuospatial disorder in stroke patients Download Fulltext |
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| Sir Run Run Hospital，Nanjing Medical University，Nanjing，211100 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To explore the effect of dual transcranial direct current stimulation (tDCS) combined with rehabilitation training on visuospatial disorder in stroke patients and the feasibility of efficacy evaluation index.
Method：Totally 40 patients with visuospatial disorder after stroke were divided into treatment group (n=20) and control group (n=20). Rehabilitation training in the treatment group was synchronized with tDCS stimulation， and rehabilitation training in the control group was synchronized with sham-tDCS.Clock drawing test (CDT)，Wechsler adult intelligence scale-block design(WAIS-BD)，judgement of line orientation test (JLO) and modified Barthel index (MBI) were used to evaluate the efficacy before treatment， 4 weeks and 8 weeks after treatment， and JLO>18 was analyzed as an early index of symptom improvement.
Result：After 4 weeks of treatment，the scores of CDT，WAIS-BD， JLO and MBI in the treatment group were significantly increased compared with those before treatment (P<0.05).After 8 weeks of treatment， the scores of CDT， WAIS-BD， JLO and MBI in the two groups were significantly higher than those before treatment (P<0.05).In the treatment group，the scores of CDT， JLO after 4 weeks of treatment and the scores of CDT， WAIS-BD，JLO and MBI after 8 weeks of treatment were significantly higher than those in the control group (P<0.05).JLO was significantly correlated with WAIS-BD， CDT and MBI in the two groups before and after treatment (P<0.05).After 8 weeks of treatment，the symptom improvement rate（JLO>18）in the treatment group was significantly higher than that in the control group(P<0.05).
Conclusion：Dual-tDCS combined with rehabilitation training can effectively improve the visuospatial disorder in stroke patients，and JLO>18 can be used as an early evaluation index for the improvement of visual spatial disorder symptoms. |
| Keywords:transcranial direct current stimulation visual space disorder clock drawing test Wechsler adult intelligence scale -block design judgement of line orientation test |
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