低频重复经颅磁刺激在痉挛性斜颈治疗中的应用价值  

Application of low frequency repetitive transcranial magnetic stimulation in treatment of spasmodic torticollis

作　　者：隆昱洲[1] 雷进[1] 罗丽华[1] 刘姚[1] 尚正良[1] 

机构地区：[1]云南省第二人民医院(昆明医科大学第四附属医院)神经内科,昆明市650021

出　　处：《实用医学杂志》2015年第1期54-56,共3页The Journal of Practical Medicine

基　　金：云南省科技厅-昆明医学院联合专项项目(编号:2011FB230)

摘　　要：目的:探讨低频重复经颅磁刺激在痉挛性斜颈治疗中的应用价值。方法:78例痉挛性斜颈患者,随机分为磁刺激治疗组(r TMS组)39例及A型肉毒毒素治疗组(BTX-A组)39例。于治疗前、治疗1周后、1个月、3个月及6个月分别采用多伦多痉挛性斜颈评定量表(TWSTRS)、Tsui量表对患者疗效进行评定。结果:r TMS组在治疗1周后、1个月、3个月Tsui量表评分、TWSTRS量表斜颈严重程度评分、残疾程度评分、躯体疼痛评分均较治疗前明显改善,与治疗前相比差异具有统计学意义(P<0.05),与BTX-A组相比,二组之间差异无统计学意义。结论:低频重复经颅磁刺激治疗痉挛性斜颈疗效确切,可作为一项无创性物理治疗痉挛性斜颈的措施。Objective To explore the application value of low frequency repetitive transcranial magnetic stimulation （rTMs） in spasmodic torticollis patients. Methods Seventy-eight patients with spasmodic torticollis were randomly divided into the low frequency repetitive transcranial magnetic stimulation treatment group and the botulinum toxin type A group. Both two groups were assessed by using the Toronto torticollis rating scale （TWSTRS） and the Tsui＇s scale before treatment and one week, one month, three months, six months after the treatment. Results At one week, one month, three months after the rTMs treatment, the severity, disability, pain of Tsui scores were increased significantly in the rTMs treatment group （P 〈 0.05）.Compared with the botulinum toxin type A group,no significant statistical differences were found between these two groups （P 〉 0.05）. Conclusions The effect of low frequency rTMs in the treatment for spasmodic torticollis is significant. It can be used as a noninvasive physical treatment for spasmodic torticollis.

关 键 词：痉挛性斜颈 经颅磁刺激 A型肉毒毒素 

分 类 号：R682.12[医药卫生—骨科学]