rTMS对脑梗死后失语症伴记忆障碍的个案观察

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英文篇名：rTMS Observation on Aphasia and Memory Impairment after Cerebral Infarction 作者：王萍 ; 徐倩 ; 陈柱 ; 夏家怡 ; 肖忠新 英文作者：WANG Ping;XU Qian;CHEN Zhu;XIA Jiayi;XIAO Zhongxin;Shanghai Second Rehabilitation Hospital; 关键词：rTMS ; 失语症 ; 记忆障碍 英文关键词：rTMS;;aphasia;;memory impairment 中文刊名：DYIS 英文刊名：Doctor 机构：上海市第二康复医院语言治疗室; 出版日期：2019-01-05 出版单位：大医生 年：2019 期：v.4;No.23 基金：上海市卫生和计划生育委员会科研课题(编号:2017Y0193) 语种：中文; 页：DYIS201901082 页数：2 CN：01 ISSN：10-1452/R 分类号：174-175

摘要

脑梗死在临床中较为多见,患者病情稳定后,可能会出现失语症,认知障碍,吞咽障碍,肢体功能障碍等。其中失语症包括对语言的理解和语言符号的表达,是脑梗死常见的并发症。随着国内外学者开始研究记忆与认知、语言的相互影响,究竟如何进行训练能使失语症伴有记忆力障碍的患者得到显著改善,采用针对性治疗,如重复经颅磁刺激(repetitive transcranial magnetic stimulation rTMS)是否可促进其记忆和语言功能的恢复。本院收治的1例脑梗死患者,进行常规训练和rTMS治疗干预,进行治疗观察6周,结果显示rTMS干预使患者的记忆力、听词辨认、物品命名均得到改善。
        Cerebral infarction is more common in the clinic. After the patient's condition is stable,aphasia,cognitive impairment,dysphagia,and limb dysfunction may occur. Among them,aphasia includes understanding of language and expression of linguistic symbols,which is a common complication of cerebral infarction. As domestic and foreign scholars begin to study the interaction between memory and cognition and language,how to train can make significant improvement in patients with aphasia with memory impairment,using targeted therapy,such as repetitive transcranial stimulation. Whether magnetic stimulation rTMS)can promote problems with its memory and language functions.A case of cerebral infarction in our hospital was treated with routine training and rTMS treatment intervention for 6 weeks. The results showed that rTMS intervention improved the memory,hearing recognition and naming of objects.

引文

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