《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (7): 797-801.doi: 10.3969/j.issn.1006-9771.2020.07.012

• 综述 • 上一篇    下一篇

脑卒中患者执行功能的研究进展

熊健1,郑国华1,2()   

  1. 1.上海中医药大学研究生院,上海市 201315
    2.上海健康医学院护理与健康管理学院,上海市 201318
  • 收稿日期:2019-07-16 修回日期:2019-08-22 出版日期:2020-07-25 发布日期:2020-07-24
  • 通讯作者: 郑国华 E-mail:zhenggh@sumhs.edu.cn
  • 作者简介:熊健(1993-),男,汉族,江西宜春市人,硕士研究生,主要研究方向:脑功能的中西医结合康复。|郑国华(1979-),男,汉族,福建福州市人,博士,教授,主要研究方向:常见慢性病预防与康复运动与健康管理。

Advance in Executive Function for Post-stroke Patients (review)

XIONG Jian1,ZHENG Guo-hua1,2()   

  1. 1. Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai 201315, China
    2. College of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China
  • Received:2019-07-16 Revised:2019-08-22 Published:2020-07-25 Online:2020-07-24
  • Contact: ZHENG Guo-hua E-mail:zhenggh@sumhs.edu.cn

摘要:

执行功能障碍是脑卒中患者最为常见的认知功能障碍。除了经典范式的测量工具外,脑卒中患者执行功能的评定还有基于活动性能测试的方法。影响卒中后执行功能障碍因素有年龄、梗死区域和面积、心血管危险因素(高血压、糖尿病、房颤与吸烟)及受教育程度。除了传统的运动训练和认知康复外,非侵入性脑刺激技术(经颅直流电刺激和经颅磁刺激)、虚拟现实技术和抗抑郁药物治疗也逐渐用于改善卒中后执行功能障碍。

关键词: 脑卒中, 执行功能, 影响因素, 评定, 康复, 综述

Abstract:

Executive dysfunction is common in stroke patients. Other than the classical assessment tools, there are performance-based assessments for post-stroke executive dysfunction. The related factors include age, infarct region and area, cardiovascular risk factors (hypertension, diabetes, atrial fibrillation and smoking) and education level. In addition to traditional exercise and cognitive rehabilitation, non-invasive brain stimulation technology (transcranial direct current stimulation and transcranial magnetic stimulation), virtual reality and antidepressant have been used more and more for post-stroke executive dysfunction.

Key words: stroke, executive function, related factors, assessment, rehabilitation, review

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