高频重复经颅磁刺激联合悬吊训练治疗不完全性脊髓损伤的临床研究  

Clinical study of high-frequency repetitive transcranial magnetic stimulation combined with suspension exercise training in treatment of incomplete spinal cord injury

作　　者：唐燕 陈家平 李小帆 徐敏 王林娟 王林 涂元宝 TANG Yan;CHEN Jiaping;LI Xiaofan;XU Min;WANG Linjuan;WANG Lin;TU Yuanbao(Department of Rehabilitation,Traditional Chinese Hospital of Lu’an,Anhui Province,Lu’an237000,China;Department of Nephropathy,Traditional Chinese Medicine Hospital of Lu’an,Anhui Province,Lu’an237000,China)

机构地区：[1]安徽省六安市中医院康复科,安徽六安237000 [2]安徽省六安市中医院肾病科,安徽六安237000

出　　处：《中国医药导报》2023年第28期105-109,共5页China Medical Herald

基　　金：安徽省卫生健康委员会科研项目(AHWJ2019b039)。

摘　　要：目的分析高频重复经颅磁刺激(HFrTMS)联合悬吊训练(SET)治疗不完全性脊髓损伤(ISCI)的效果。方法依据随机数字表法将安徽省六安市中医院2021年12月至2022年10月收治的90例ISCI患者分为联合组(45例)及对照组(45例)。对照组予以SET干预,联合组在对照组基础上增加HF r TMS干预,两组均干预4周。评价临床疗效,比较干预前后脊髓功能独立性(FIM)、神经性疼痛程度(SF-MPQ)、独立生活能力(BI)平衡能力(BBS)、下肢功能(ASIA-LEMS)评分及步态参数变化。结果联合组临床疗效优于对照组,差异有统计学意义(P<0.05)。干预后,两组FIM及BI评分高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05);干预后两组SF-MPQ评分低于干预前,且联合组低于对照组,差异有统计学意义(P<0.05)。干预后,两组BBS、ASIA-LEMS评分高于治疗前,且联合组高于对照组,差异有统计学意义(P<0.05)。干预后,两组步长、步速、步频高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05)。结论HF r TMS联合SET治疗ISCI患者效果显著,能够提高脊髓功能独立性、平衡能力和独立生活能力,降低神经性疼痛程度。Objective To analyze the efficacy of high-frequency repetitive transcranial magnetic stimulation(HF rTMS)combined with suspension exercise training(SET)in the treatment of incomplete spinal cord injury(ISCI).Methods According to the random number table method,a total of 90 patients with ISCI admitted to Traditional Chinese Medicine Hospital of Lu’an from December 2021 to October 2022 were divided into a combination group(45 cases)and control group(45 cases).SET intervention was given to the control group,and HF rTMS intervention was added to the combined group on the basis of the control group.Both groups were treated for four weeks.The clinical effect was evaluated,and the changes of the score of function independent measure(FIM),simplified McGill pain questionnaire(SF-MPQ),Barthel index(BI),Berg balance scale(BBS),ASIA-lower extremity muscle function score(ASIA-LEMS),and gait parameters were compared before and after the intervention.Results The clinical effect of the combined group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,FIM and BI scores of the two groups were higher than those before intervention,while those of the combined groups were higher than those of the control group,and the differences were statistically significant,and the differences were statistically significant(P<0.05).After intervention,the SF-MPQ scores of the two groups were lower than those before intervention,while those of the combined group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the BBS and ASIA-LEMS scores of the two groups were higher than those before treatment,while those of the combined groups were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the step length,step speed and step frequency of the two groups were higher than those before intervention,while those of the combination group were higher than tho

关 键 词：高频重复经颅磁刺激 悬吊训练 不完全性脊髓损伤 神经性疼痛 临床疗效 

分 类 号：R493[医药卫生—康复医学]