不同频率重复经颅磁刺激治疗缺血性脑卒中患者平衡障碍的效果研究  

Effect of different frequency repetitive transcranial magnetic stimulation balance disorder in patients with ischemic stroke

作　　者：李佳艺 李剑锋 金朝 秦骞 LI Jiayi;LI Jianfeng;JIN Zhao;QIN Qian(Department of Rehabilitation,Beijing Yang Fang Dian Hospital,Beijing,100038,China)

机构地区：[1]北京市羊坊店医院康复科,北京100038

出　　处：《当代医学》2022年第18期4-9,共6页Contemporary Medicine

摘　　要：目的 探究不同频率重复经颅磁刺激(rTMS)治疗缺血性脑卒中患者平衡功能障碍的临床疗效。方法 选取2019年12月至2020年10月北京市羊坊店医院康复医学科收治的120例缺血性脑卒中患者作为研究对象,采用随机数字表法分为4组,每组30例。对照组给予伪rTMS刺激,低频rTMS组给予1 Hz rTMS治疗,高频r TMS组给予5 Hz rTMS治疗,联合组先后给予低频rTMS和高频rTMS叠加治疗。比较两组Berg平衡量表(BBS)评分、静态平衡测试及动态平衡测试。结果 治疗后,4组BBS评分均高于治疗前,差异有统计学意义(P<0.05);低频rTMS组、高频rTMS组、联合组BBS评分均高于对照组,差异有统计学意义(P<0.05)。治疗后,4组晃动速度均慢于治疗前,差异有统计学意义(P<0.05);低频r TMS组、高频r TMS组、联合组第1项和第3项晃动速度均慢于对照组,联合组综合晃动速度慢于对照组,差异有统计学意义(P<0.05)。治疗后,4组反应时间均短于治疗前,移动速度快于治疗前,端点行程、最大偏移、方向控制均大于治疗前,差异有统计学意义(P<0.05)。低频rTMS组、高频rTMS组、联合组反应时间均短于对照组,移动速度快于对照组,方向控制大于对照组,差异有统计学意义(P<0.05)。联合组反应时间短于低频rTMS组,差异有统计学意义(P<0.05);联合组方向控制大于低频rTMS组和高频rTMS组,差异有统计学意义(P<0.05)。结论 低频和高频重复经颅磁刺激可有效促进缺血性脑卒中患者平衡功能的康复,且低高频联合疗效显著。Objective To explore the clinical efficacy of different frequencies repetitive transcranial magnetic stimulation(rTMS) in the treatment of balance dysfunction in patients with ischemic stroke.Methods 120 patients with ischemic stroke in the Department of rehabilitation medicine of Beijing Yangfangdian hospital from December 2019 to October 2020 were selected as the research subjects,and they were divided into 4groups by random number table method,with 30 cases in each group.The control group was given pseudo-rTMS stimulation,the low-frequency rTMS group was given 1 Hz rTMS treatment,the high-frequency rTMS group was given 5 Hz rTMS treatment,and the combination group was given low-frequency rTMS and high-frequency r TMS superimposed treatment successively.The Berg balance scale(BBS) score,static balance test and dynamic balance test were compared between the two groups.Results After treatment,the BBS scores of the 4 groups were higher than those before treatment,and the difference was statistically significant(P<0.05);the BBS scores of low-frequency rTMS group,high-frequency rTMS group and combination group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).After treatment,the shaking speed of the four groups were slower than that before treatment,and the difference was statistically significant(P<0.05);low frequency rTMS group,high frequency rTMS group,combination group 1st item and 3rd item sloshing speed were all slower than control group,the comprehensive sloshing speed of combination group was slower than that of control group,the difference was statistically significant(P<0.05).After treatment,the reaction time of the 4 groups were shorter than that before treatment,the moving speed were faster than that before treatment,and the end point stroke,maximum deviation,and direction control were all greater than those before treatment,and the difference was statistically significant(P<0.05).The reaction time of the low frequency rTMS group,the high f

关 键 词：重复经颅磁刺激 颈内动脉系统 缺血性脑卒中 平衡障碍 NeuroCom平衡系统 

分 类 号：R743.3[医药卫生—神经病学与精神病学]