经颅磁脑反射电疗仪与针刺治疗卒中后肩手综合征对比研究  

Comparative study of transcranial magnetic stimulation therapy and acupuncture on post-stroke shoulder-hand syndrome

作　　者：武丹娜[1] 沈瑞红 赵伟鹏 张捧娃[1] WU Danna;SHEN Ruihong;ZHAO Weipeng;ZHANG Pengwa(Department of Neurology,the Fourth Hospital of Hebei Medical University,Shijiazhuang,Hebei 050011;Department of Anorectal,Dezhou Anorectal Hospital,Dezhou,Shandong 253000;Department of Traditional Chinese Medicine,the Fourth Hospital of Hebei Medical University,Shijiazhuang,Hebei 050011)

机构地区：[1]河北医科大学第四医院神经内科,河北石家庄050011 [2]山东省德州市肛肠医院肛肠科,山东德州253000 [3]河北医科大学第四医院中医科,河北石家庄050011

出　　处：《河北中医》2023年第7期1128-1131,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：2015年度河北省医学科学研究重点课题(编号:20150797)。

摘　　要：目的对比分析经颅磁脑反射电疗仪与针刺治疗卒中后肩手综合征的效果。方法将60例卒中后肩手综合征患者按照随机数字表法分为2组,2组均行常规康复锻炼,治疗组30例予经颅磁脑反射电疗仪治疗,对照组30例予针刺治疗。比较2组治疗前后患肢疼痛视觉模拟评分(VAS)、肩手水肿、Fugl-Meyer运动功能评定量表上肢部分(FMA-UE)评分及临床疗效。结果治疗组总有效率96.7%(29/30),对照组总有效率86.7%(26/30),治疗组高于对照组(P<0.05)。2组治疗后疼痛VAS、肩手水肿评分均较本组治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05)。2组治疗后FMA-UE评分均较本组治疗前升高(P<0.05),且治疗组治疗后FMA-UE评分高于对照组(P<0.05)。结论在康复锻炼的基础上,联合经颅磁脑反射电疗仪比联合针刺治疗更能有效改善卒中后肩手综合征患者的预后。Objective To compare and analyze the clinical effects of transcranial magnetic stimulation(TMS)therapy and acupuncture on post-stroke shoulder-hand syndrome(SHS).Methods A total of 60 patients with post-stroke SHS were randomly assigned into control group(n=30)and treatment group(n=30).Based on routine rehabilitation exercise,the acupuncture therapy and TMS therapy were given to patients of the control group and the treatment group,respectively.The visual analogue scale(VAS)score of limb pain,edema score,Fugl-Meyer assessment for the upper extremity(FMA-UE)score between groups were compared before and after treatment.Results After treatment,the effective rate in the treatment group was significantly higher than that in the control group(96.7%[29/30]vs 86.7%[26/30],P<0.05).The significant decreased VAS score and edema score,and increased FMA-UE score were detected in the both groups after treatment(all P<0.05),there were significantly different in VAS score,edema score,FMA-UE score between the treatment group and the control group(all P<0.05).Conclusion Based on rehabilitation exercise,TMS can improve the prognosis of patients with post-stroke SHS more effectively than acupuncture.

关 键 词：卒中 反射性交感神经营养障碍 针刺疗法 经颅磁刺激 

分 类 号：R743.309[医药卫生—神经病学与精神病学]