经颅直流电刺激联合认知-运动双任务训练对脑卒中后认知障碍患者记忆和执行功能的影响

打开文本图片集

中图分类号：R493，R743.9 文献标志码：A DOI：10.11958/20250535

Abstract：ObjectiveTo explore the influences of transcranial direct current stimulation （tDCS）incombination with cognitive-motordualtasktraining（CMDT）onmemoryand executivefunctioninpatients sufferingfrompost-strokecognitive impairment.MethodsAtotal of75 stroke patients wererandomly divided into thetDCS group，the CMDT groupand the combined group，each consistingof25cases.Allpatients inthethree groupsreceivedroutinerehabilitation treatment.The tDCS group underwenttDCS stimulationof dorsolateral prefrontal lobe （DLPFC）oftheregion，the CMDT groupreceived CMDT andthecombined group received CMDTonthe basis of tDCStreatment.The fourth editionof the Wechsler Memory Scale（WMS-IV），WisconsinCard Test（WCST），MontrealCognitiveAssessment （MoCA）andModifiedBarthel Index（MBI） wereusedtovaluateeoverallognitiefunction，memoryexecutivefunction，andailylvngabilityoftepatintsfore and4 weeksaftertreatment，respectively.ResultsBeforetreatment，there werenosignificant diferences intheevaluation indices between the three groups （ P>0.05 ）.After4 weeksof treatment， the scores of WCST，WMS-IV，MoCA and MBI in the three groups were improved compared with those before the treatment （ P<0.05 ），and the combined group was significantly superior to the tDCS group and the CMDT group （ P<0.05 ）.ConclusionThe combination of tDCS and CMDT canimprove thecognitivefunctionafter stroke，andatthesame time exertasynergistic efectonmemoryand executive function.

KeyWords：stroke;cognition disorders;memory;transcranial directcurrntstimulation;cognitive-motordual task training; executive function

脑卒中是我国常见的脑血管疾病，发病率逐年升高[1]。（剩余10348字）