Effect of behavioral therapy combined with repetitive transcranial magnetic stimulation on unilateral spatial neglect after stroke
行为学疗法联合重复经颅磁刺激对脑卒中后单侧空间忽略患者的影响研究

摘要

目的 探讨对脑卒中后单侧空间忽略患者实施行为学疗法联合重复经颅磁刺激疗法的效用价值。方法 此次研究共选取108例患者进行对比实验，均为脑卒中后单侧空间忽略病症患者，采取盲抽方式进行分组，对照组与观察组各54例患者，前者采取行为学疗法，后者在此基础上联合重复经颅磁刺激疗法，对两组临床应用效果展开评价比较。结果 实验中各项数据显示，治疗前两组患者FMA、FIM、MMSE各项评分经对比无统计学意义（P＞0.05），但治疗后观察组患者FMA、FIM、MMSE评分显著高于对照组（P＜0.05）；与此同时，两组患者治疗前各项实验评分相对较为均衡（P＞0.05），而治疗后，相比对照组，观察组删除实验、数字消去、评分直线、自由画图、字体等相关实验评分明显较低（P＜0.05）。结论 对于脑卒中后单侧空间忽略患者而言，实施行为学疗法与重复经颅磁刺激联合治疗方法可有效提高患者运动功能及认知功能与日常生活活动能力，对患者单侧空间忽略等症状的改善也起到积极促进作用。

Abstract

Objective: To investigate the effectiveness of behavioral therapy combined with repetitive transcranial magnetic stimulation in patients with unilateral spatial neglect after stroke.
Methods: A total of 108 patients were selected for comparative experiments in this study, all of whom were patients with unilateral spatial neglect after stroke and were divided into groups by blind sampling. 54 patients in each control group and observation group received behavioral therapy in the former group and repeated transcranial magnetic stimulation therapy in the latter group on this basis to evaluate and compare the clinical application effects of the two groups.
Results: The data in the experiment showed that there was no statistical significance in FMA, FIM and MMSE scores between the two groups before treatment (P > 0.05), but after treatment, FMA, FIM and MMSE scores in the observation group were significantly higher than those in the control group (P < 0.05). At the same time, the experimental scores of the two groups were relatively balanced before treatment (P > 0.05), while after treatment, the experimental scores of deletion experiment, number elimination, score line, free drawing, font and other related experiments in the observation group were significantly lower than those in the control group (P < 0.05).
Conclusion  : For patients with unilateral spatial neglect after stroke, the combination of behavioral therapy and repetitive transcranial magnetic stimulation can effectively improve the motor function, cognitive function and activities of daily living, and also play a positive role in improving the symptoms of unilateral spatial neglect.