重复经颅磁刺激联合反复促通疗法对脑卒中患者上肢运动功能康复的疗效观察  

Effect of repeated transcranial magnetic stimulation combined with repeated facilitation therapy on the rehabilitation of upper limb motor function in stroke patients

作　　者：庞争争 计弯弯 张环 吕亚希 孙瑞[1] Pang Zhengzheng;Ji Wanwan;Zhang Huan(Department of Acupuncture and Moxibustion,Wuhan No.1 Hospital,Wuhan 430030,China)

机构地区：[1]武汉市第一医院针灸科,武汉430030 [2]华中科技大学同济医学院附属协和医院,武汉430022

出　　处：《中国康复》2022年第8期464-467,共4页Chinese Journal of Rehabilitation

基　　金：湖北省自然科学基金(2019CFC921)。

摘　　要：目的:观察重复经颅磁刺激(rTMS)联合反复促通疗法(川平疗法)对脑卒中患者上肢运动功能康复的临床疗效。方法:将70例符合入选标准的脑卒中患者随机分为对照组与观察组,每组35例。对照组患者接受常规康复治疗及频率为1Hz的rTMS治疗;观察组在此基础上再增加反复促通疗法;均连续接受4周的治疗,并在治疗前、治疗结束后分别采用Fugl-Meyer上肢部分(FMA-UE)、改良Ashworth(MAS)量表及改良Barthel指数(MBI)对患者上肢运动功能进行评定。结果:治疗4周后,2组患者FMA-UE及MBI评分较治疗前均有升高(P<0.05)、MAS评分较治疗前均有降低(P<0.05),且观察组各项评分指标均优于对照组(P<0.05)。结论:重复经颅磁刺激联合反复促通疗法对脑卒中患者疗效更佳,可明显促进患者上肢运动功能康复、提高患者日常生活活动能力。Objective:To observe the clinical effect of repeated transcranial magnetic stimulation(rTMS)combined with repeated facilitation therapy(Chuanping therapy)on the rehabilitation of upper limb motor function in stroke patients.Methods:A total of 70 stroke patients who met the inclusion criteria were randomly divided into control group and observation group,with 35 cases in each group.Patients in the control group received routine rehabilitation treatment and rTMS treatment with a frequency of 1 Hz.On this basis,the observation group was given repeated facilitation therapy additionally.All patients received continuous treatment for 4 weeks,and their upper limb motor function was evaluated by Fugl Meyer upper limb part(FMA-UE),modified Ashworth(MAS)scale and modified Barthel Index(MBI)before and after treatment.Results:After treatment,the scores of FMA-UE and MBI in both groups were higher than those before treatment(P<0.05),and the scores of MAS were lower than those before treatment(P<0.05),and all scoring indexes in the observation group were better than those in the control group(P<0.05).Conclusion:The rTMS combined with repeated facilitation therapy has a better effect on stroke patients,which can significantly promote the rehabilitation of upper limb motor function and improve the ability of daily living activities of patients.

关 键 词：重复经颅磁刺激 反复促通疗法 脑卒中 上肢功能 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]