重复经颅磁刺激治疗腓总神经损伤的临床效果  

Investigation on the therapeutic efficacy of repetitive transcranial magnetic stimulation on common peroneal nerve injury

作　　者：林敏婷[1] 杨轩[1] 黎鸣[1] 周雪贤[1] 邱海斌 LIN Minting;YANG Xuan;LI Ming;ZHOU Xuexian;QIU Haibin(Department of Functional Inspection,Foshan Hospital of TCM,Guangdong,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院功能检查科,广东佛山528000

出　　处：《中国医药科学》2021年第3期236-238,共3页China Medicine And Pharmacy

摘　　要：目的探讨重复经颅磁刺激治疗腓总神经损伤的疗效。方法从佛山市中医院2019年1—12月诊治的腓总神经损伤患者中针对性抽取采用常规静滴和口服西药治疗的40例患者作为对照组,针对性抽取在对照组治疗基础上采用重复经颅磁刺激治疗的40例患者作为观察组,比较两组患者临床疗效,观察重复经颅磁刺激治疗的临床应用价值。结果观察组临床治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者腓总神经MCV和CMAP波幅比较,差异无统计学意义(P>0.05);治疗后,两组患者腓总神经MCV和CMAP波幅均有所改善,且观察组改善情况明显优于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的FMA评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的FMA评分均得到改善,且观察组改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论对腓总神经损伤患者采用重复经颅磁刺激治疗,效果显著,值得临床推广。Objective To investigate the therapeutic efficacy of repetitive transcranial magnetic stimulation on common peroneal nerve injury.Methods Patients with common peroneal nerve injury treated with conventional intravenous drip and oral administrated western medicine admitted to Foshan Hospital of TCM from January to December 2019 were purposefully selected as the control group(n=40),and other patients treated with repetitive transcranial magnetic stimulation on the basis of the control group were purposefully selected as the observation group(n=40).The clinical efficacies of the two groups of patients were compared and the clinical application value of repetitive transcranial magnetic stimulation was observed.Results The total clinical efficacy rate of the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the amplitude of MCV and CMAP of common peroneal nerve in both groups of patients(P>0.05).After treatment,the amplitude of MCV and CMAP of common peroneal nerve improved in both groups of patients,the improvement of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in FMA scores between the two groups of patients,and the difference was not statistically significant(P>0.05).After treatment,the FMA scores of both groups were improved,and the improvement of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Repetitive transcranial magnetic stimulation is effective for patients with common peroneal nerve injury,which is worthy of clinical promotion.

关 键 词：腓总神经损伤 重复经颅磁刺激 FMA评分 

分 类 号：R651.3[医药卫生—外科学]